Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting, when performed; initial vessel treated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $840.14 | $1,386.00 | $14,063.00 | |
Anthem BCBS
| Facility | $7,446.00 | $19,160.43 | $26,986.76 | |
CareSource
| Facility | $696.70 | $887.95 | $1,024.56 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |