| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $6,309.57 | $13,803.84 | |
Medica
| Facility | $380.19 | $1,122.02 | $10,715.19 | |
United
| Facility | $10,715.19 | $12,022.64 | $12,022.64 |
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 | $380.19 | $6,309.57 | $13,803.84 | |
Medica
| Facility | $380.19 | $1,122.02 | $10,715.19 | |
United
| Facility | $10,715.19 | $12,022.64 | $12,022.64 |