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New Hampshire 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
$100.00 / $100.00 / $9,859.00
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
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,617.00 / $3,617.00 / $3,617.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,874.24 / $5,514.81 / $7,116.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.59 / $5,346.71 / $9,221.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.01 / $6,145.13 / $13,311.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,722.71 / $2,994.98 / $3,811.79