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 | $4,466.84 | $6,918.31 | $11,748.98 | |
Aetna
| Professional | $1,096.48 | $2,238.72 | $3,548.13 | |
Cigna
| Professional | $1,698.24 | $2,884.03 | $15,135.61 | |
Emblem Health
| Professional | $3,630.78 | $4,677.35 | $6,025.60 | |
Horizon BCBS
| Professional | $1,905.46 | $2,630.27 | $6,025.60 | |
United
| Facility | $1,698.24 | $5,888.44 | $10,471.29 | |
United
| Professional | $1,479.11 | $2,754.23 | $6,165.95 |