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Maryland 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
Professional
Modifier
Low / Median / High Price
$2,263.04 / $2,653.30 / $2,696.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,743.70 / $2,743.70 / $3,484.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,101.91 / $2,676.37 / $5,128.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,169.59 / $2,798.77 / $4,504.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.50 / $2,308.98 / $4,417.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.21 / $1,876.21 / $1,876.21