| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,433.42 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,859.11 | $8,515.28 | $12,176.85 | |
Providence
| Facility | $1,859.11 | $8,515.28 | $12,176.85 |
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 | $4,433.42 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,859.11 | $8,515.28 | $12,176.85 | |
Providence
| Facility | $1,859.11 | $8,515.28 | $12,176.85 |