Delayed placement of proximal extension prosthesis(es) not involving coverage of the left subclavian artery origin, after endovascular repair of the thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $4,570.88 | $11,220.18 | |
BCBS
| Facility | $3,890.45 | $8,511.38 | $23,988.33 | |
Cigna
| Facility | $398.11 | $2,884.03 | $8,709.64 | |
United
| Facility | $851.14 | $3,162.28 | $10,232.93 |
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