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
| Professional | $2,110.42 | $2,110.42 | $2,110.42 | |
BCBS
| Professional | $5,095.00 | $5,745.00 | $6,894.00 | |
Cigna
| Professional | $3,691.00 | $3,691.00 | $3,691.00 | |
United
| Facility | $1,275.00 | $1,275.00 | $3,239.00 | |
United
| Professional | $2,143.10 | $5,034.62 | $6,682.37 |