| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $4,570.88 | $8,511.38 | |
Anthem BCBS
| Facility | $8,709.64 | $17,378.01 | $19,952.62 | |
United
| Facility | $3,311.31 | $6,165.95 | $15,135.61 |
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; each additional vessel treated (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $4,570.88 | $8,511.38 | |
Anthem BCBS
| Facility | $8,709.64 | $17,378.01 | $19,952.62 | |
United
| Facility | $3,311.31 | $6,165.95 | $15,135.61 |