| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,992.40 | $3,992.40 | $3,992.40 | |
Providence
| Facility | $3,992.40 | $4,963.39 | $5,126.41 |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,992.40 | $3,992.40 | $3,992.40 | |
Providence
| Facility | $3,992.40 | $4,963.39 | $5,126.41 |