| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,280.34 | $7,629.00 | $10,727.87 | |
Anthem BCBS
| Facility | $12,098.00 | $12,905.00 | $17,206.00 | |
United
| Facility | $8,706.00 | $11,710.00 | $21,600.00 |
Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recanulization/dilatation, stent placement and all associated imaging guidance and documentation)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,280.34 | $7,629.00 | $10,727.87 | |
Anthem BCBS
| Facility | $12,098.00 | $12,905.00 | $17,206.00 | |
United
| Facility | $8,706.00 | $11,710.00 | $21,600.00 |