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Vermont 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	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.78 / $983.78 / $983.78	Professional	$983.78	$983.78	$983.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.46 / $3,468.46 / $11,230.09	Professional	$3,468.46	$3,468.46	$11,230.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,468.46 / $3,468.46 / $11,230.09	Professional	$3,468.46	$3,468.46	$11,230.09
United Facility/Professional Professional Modifier Low / Median / High Price $2,002.10 / $3,918.71 / $13,783.68	Professional	$2,002.10	$3,918.71	$13,783.68