| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,732.55 | $1,732.55 | $8,500.00 | |
Medica
| Facility | $1,732.55 | $2,342.81 | $5,197.64 |
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 | $1,732.55 | $1,732.55 | $8,500.00 | |
Medica
| Facility | $1,732.55 | $2,342.81 | $5,197.64 |