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 | $337.69 | $3,633.00 | $8,920.00 | |
Anthem BCBS
| Facility | $11,099.00 | $16,960.88 | $23,318.49 | |
Kaiser Permanente
| Professional | $266.73 | $320.08 | $394.76 | |
Medcost
| Facility | $304.64 | $400.40 | $570.70 | |
Sentara
| Facility | $305.00 | $401.55 | $3,658.00 | |
United
| Facility | $1,547.00 | $3,130.00 | $5,226.00 |