| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,173.93 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,165.91 | $9,937.60 | $14,210.77 | |
Providence
| Facility | $2,165.91 | $9,937.60 | $14,210.77 |
Endovascular repair of thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation; by deployment of an aorto-aortic tube endograft covering the left subclavian artery and all aortic tube endograft extension(s) proximally in the aortic arch and ascending aorta and distally to the celiac artery, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,173.93 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,165.91 | $9,937.60 | $14,210.77 | |
Providence
| Facility | $2,165.91 | $9,937.60 | $14,210.77 |