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New Mexico 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
$1,000.00 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.31 / $2,245.79 / $3,973.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,502.05 / $2,502.05 / $2,502.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.83 / $3,467.32 / $3,809.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $2,146.55 / $4,496.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.79 / $3,467.32 / $3,809.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,195.94 / $2,688.80 / $3,772.70