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 | $1,642.00 | $3,042.00 | $6,953.00 | |
Anthem BCBS
| Facility | $5,078.00 | $7,046.00 | $13,494.02 | |
Hometown Health
| Professional | $14.80 | $842.65 | $1,228.86 | |
United
| Facility | $1,061.00 | $2,606.00 | $6,471.00 |