| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $471.90 | $8,084.00 | $12,933.00 | |
Horizon BCBS
| Facility | $13,350.26 | $24,601.74 | $30,058.58 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |
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 | $471.90 | $8,084.00 | $12,933.00 | |
Horizon BCBS
| Facility | $13,350.26 | $24,601.74 | $30,058.58 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |