| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,485.88 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $1,934.00 | $4,552.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |
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 | $2,485.88 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $1,934.00 | $4,552.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |