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 | $1,121.31 | $1,121.31 | |
BCBS
| Professional | $14,011.99 | $14,011.99 | $14,011.99 | |
Cigna
| Professional | $4,216.50 | $4,216.50 | $14,011.99 | |
MVP Health Care
| Professional | $4,216.50 | $4,216.50 | $14,011.99 | |
United
| Professional | $2,288.01 | $3,520.02 | $17,198.15 |