| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $378.50 | $1,400.00 | $5,649.16 | |
CareSource
| Facility | $391.88 | $435.37 | $474.35 | |
Cigna
| Facility | $628.38 | $628.38 | $628.38 |
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 | $378.50 | $1,400.00 | $5,649.16 | |
CareSource
| Facility | $391.88 | $435.37 | $474.35 | |
Cigna
| Facility | $628.38 | $628.38 | $628.38 |