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Maine 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
$1,091.79 / $2,990.37 / $2,990.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,837.79 / $3,084.56 / $3,109.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,247.25 / $2,990.37 / $4,395.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,589.88 / $2,882.93 / $4,485.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.79 / $2,990.37 / $2,990.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,823.12 / $4,756.22 / $5,740.28