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New Mexico 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
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.76 / $1,764.30 / $3,121.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.01 / $2,695.10 / $3,156.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $1,619.54 / $3,392.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.59 / $2,695.10 / $3,156.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.90 / $2,361.44 / $3,477.78