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 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 | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,274.52 | $2,274.52 | $2,381.69 | |
Cigna
| Professional | $1,880.30 | $1,901.94 | $5,854.01 | |
Highmark BCBS
| Professional | $5,092.24 | $5,092.24 | $5,092.24 | |
United
| Professional | $1,309.07 | $1,915.45 | $5,501.01 |