| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,981.07 | $3,981.07 | $3,981.07 | |
United
| Facility | $4,466.84 | $8,128.31 | $19,054.61 |
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 | $3,981.07 | $3,981.07 | $3,981.07 | |
United
| Facility | $4,466.84 | $8,128.31 | $19,054.61 |