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 two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $1,071.52 | $1,819.70 | $2,754.23 | |
Cigna
| Professional | $1,513.56 | $1,905.46 | $5,248.07 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $1,412.54 | $1,905.46 | $5,011.87 |