| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,749.77 | $9,859.00 | |
Anthem BCBS
| Facility | $8,512.20 | $16,990.29 | $28,054.57 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |
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 | $100.00 | $1,749.77 | $9,859.00 | |
Anthem BCBS
| Facility | $8,512.20 | $16,990.29 | $28,054.57 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |