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New Hampshire rates for HCPCS 34845

Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.76 / $974.76 / $974.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.55 / $2,069.55 / $2,069.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,023.54 / $4,480.62 / $5,531.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.64 / $4,172.68 / $7,196.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,150.90 / $4,316.81 / $13,729.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,912.64 / $2,103.90 / $2,677.70