| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $6,456.54 | $12,882.50 | |
Medica
| Facility | $54.95 | $3,630.78 | $10,964.78 | |
United
| Facility | $2,951.21 | $5,128.61 | $13,803.84 |
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 | $977.24 | $6,456.54 | $12,882.50 | |
Medica
| Facility | $54.95 | $3,630.78 | $10,964.78 | |
United
| Facility | $2,951.21 | $5,128.61 | $13,803.84 |