go back

New Mexico 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
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.78 / $1,979.70 / $3,502.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.76 / $3,032.21 / $3,362.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $1,795.21 / $3,760.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.36 / $3,032.21 / $3,362.04
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
$1,921.54 / $2,433.96 / $3,623.55