| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,154.04 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,166.17 | $9,899.36 | $14,156.08 | |
Providence
| Facility | $2,166.17 | $9,899.36 | $14,156.08 |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,154.04 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,166.17 | $9,899.36 | $14,156.08 | |
Providence
| Facility | $2,166.17 | $9,899.36 | $14,156.08 |