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Maine 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
Professional
Modifier
Low / Median / High Price
$977.24 / $2,398.83 / $2,818.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,090.30 / $4,570.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,715.35 / $4,786.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,511.89 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $4,073.80 / $5,495.41