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 four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,117.19 | $1,117.19 | $1,117.19 | |
Cigna
| Professional | $3,552.69 | $3,552.69 | $9,541.86 | |
MVP Health Care
| Professional | $3,552.69 | $3,552.69 | $9,541.86 | |
United
| Professional | $2,289.92 | $3,329.61 | $11,711.57 |