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Maryland 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
Professional
Modifier
Low / Median / High Price
$2,422.41 / $2,844.15 / $2,932.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.35 / $2,769.35 / $3,517.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,272.01 / $2,892.92 / $5,489.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.76 / $2,993.78 / $4,822.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.01 / $2,332.01 / $4,642.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.88 / $2,032.88 / $2,032.88