Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $974.76 | $974.76 | $1,072.23 | |
Cigna
| Professional | $2,532.02 | $2,532.02 | $5,369.07 | |
MVP Health Care
| Professional | $2,532.02 | $2,532.02 | $5,369.07 | |
United
| Professional | $1,873.53 | $2,140.34 | $6,589.94 |