Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal 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 | $1,777.30 | $1,777.30 | $1,777.30 | |
BCBS
| Professional | $4,251.00 | $4,794.00 | $5,753.00 | |
Cigna
| Professional | $3,080.08 | $3,080.08 | $3,080.08 | |
United
| Facility | $1,275.00 | $1,275.00 | $3,239.00 | |
United
| Professional | $2,291.65 | $3,753.13 | $5,958.10 |