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Connecticut rates for HCPCS 34846

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 two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,897.79 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,995.26 / $2,818.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $17,378.01 / $19,952.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,454.71 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,388.44 / $5,888.44
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,165.95 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,801.89 / $7,585.78