| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $309.03 | $1,412.54 | |
CareSource
| Facility | $309.03 | $309.03 | $389.05 | |
Cigna
| Facility | $34.67 | $501.19 | $501.19 | |
United
| Facility | $758.58 | $758.58 | $758.58 |
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 | $309.03 | $309.03 | $1,412.54 | |
CareSource
| Facility | $309.03 | $309.03 | $389.05 | |
Cigna
| Facility | $34.67 | $501.19 | $501.19 | |
United
| Facility | $758.58 | $758.58 | $758.58 |