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 four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,121.31 | $3,204.62 | $3,204.62 | |
Anthem BCBS
| Professional | $3,300.53 | $3,617.00 | $3,617.00 | |
Cigna
| Professional | $2,394.55 | $3,204.62 | $4,751.76 | |
Harvard Pilgrim
| Professional | $2,799.47 | $3,116.23 | $4,848.85 | |
Martin's Point
| Professional | $1,121.31 | $3,204.62 | $3,204.62 | |
United
| Professional | $3,116.23 | $5,462.48 | $6,805.66 |