| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $3,162.28 | $6,165.95 | |
Kaiser Permanente
| Professional | $5,128.61 | $6,606.93 | $12,589.25 | |
United
| Facility | $3,715.35 | $3,715.35 | $3,715.35 |
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 | $3,162.28 | $3,162.28 | $6,165.95 | |
Kaiser Permanente
| Professional | $5,128.61 | $6,606.93 | $12,589.25 | |
United
| Facility | $3,715.35 | $3,715.35 | $3,715.35 |