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 not involving coverage of the left subclavian artery origin and all endograft extension(s) placed from the level of the left subclavian carotid artery to the celiac artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,677.93 | $3,772.57 | $8,074.63 | |
BCBS
| Facility | $4,755.00 | $9,992.00 | $17,206.00 | |
Cigna
| Facility | $1,728.19 | $1,728.19 | $4,584.80 | |
Cigna
| Facility | 62 | $1,045.99 | $1,045.99 | $1,045.99 |
Cigna
| Facility | AS | $167.36 | $167.36 | $167.36 |
United
| Facility | $1,292.00 | $3,325.00 | $8,198.00 |
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