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 | $1,300.00 | $4,192.00 | $13,200.00 | |
Medica
| Facility | $350.00 | $1,297.00 | $6,272.82 | |
Medica
| Facility | AS | $353.33 | $353.33 | $353.33 |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |