| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,315.39 | $6,667.00 | $11,332.00 | |
Horizon BCBS
| Facility | $9,571.00 | $9,571.00 | $9,571.00 | |
United
| Facility | $1,846.00 | $7,273.00 | $10,536.00 |
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 | $1,315.39 | $6,667.00 | $11,332.00 | |
Horizon BCBS
| Facility | $9,571.00 | $9,571.00 | $9,571.00 | |
United
| Facility | $1,846.00 | $7,273.00 | $10,536.00 |