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 three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $3,520.08 | |
Aetna
| Professional | $1,918.71 | $3,520.08 | $3,520.08 | |
BCBS
| Facility | $23,805.76 | $28,889.41 | $38,865.50 | |
Cigna
| Professional | $670.00 | $2,001.93 | $3,470.89 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 | |
United
| Professional | $1,218.05 | $1,729.08 | $3,344.58 |