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Connecticut rates for HCPCS 34848

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.31 / $7,629.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.31 / $1,121.31 / $1,121.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $12,905.00 / $17,206.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,074.45 / $3,617.00 / $4,269.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,192.78 / $3,676.24 / $6,626.94
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,009.80 / $6,009.80 / $6,009.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $5,345.00 / $14,963.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,017.12 / $5,346.67 / $9,249.52