| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $208.93 | $1,412.54 | |
CareSource
| Facility | $213.80 | $213.80 | $269.15 | |
Cigna
| Facility | $34.67 | $338.84 | $338.84 | |
United
| Facility | $758.58 | $758.58 | $758.58 |
Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $208.93 | $1,412.54 | |
CareSource
| Facility | $213.80 | $213.80 | $269.15 | |
Cigna
| Facility | $34.67 | $338.84 | $338.84 | |
United
| Facility | $758.58 | $758.58 | $758.58 |