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Massachusetts rates for HCPCS 34847

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,454.71 / $3,019.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,754.23 / $10,471.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,073.80 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,365.16 / $7,762.47
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $4,786.30 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,570.88 / $6,606.93
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,981.07 / $7,762.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,754.23 / $10,471.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,073.80 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,884.03 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $4,365.16 / $8,912.51