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 | $941.64 | $4,304.00 | $8,240.00 | |
Capital Blue Cross
| Facility | $13,531.00 | $27,840.00 | $46,480.74 | |
Martin's Point
| Facility | $1,013.00 | $4,761.00 | $8,247.00 | |
UPMC Health Plan
| Facility | $764.04 | $764.04 | $906.02 | |
United
| Facility | $656.00 | $2,391.00 | $6,322.00 |