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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
$983.78 / $2,817.63 / $2,817.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,266.26 / $2,463.33 / $2,468.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,141.04 / $2,817.63 / $4,032.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,302.90 / $2,563.46 / $3,988.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.78 / $2,817.63 / $2,817.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,512.00 / $4,232.06 / $5,107.66