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 | $2,166.29 | $5,463.36 | $13,841.56 | |
BCBS
| Facility | $31,744.80 | $41,753.08 | $80,763.95 | |
Medica
| Facility | $321.26 | $454.82 | $4,406.00 | |
Midlands
| Facility | $503.53 | $626.63 | $898.93 | |
United
| Facility | $3,054.00 | $4,317.00 | $13,909.00 |