| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,209.39 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,343.07 | $6,164.29 | $8,814.93 | |
Providence
| Facility | $1,343.07 | $6,164.29 | $8,814.93 |
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 | $3,209.39 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,343.07 | $6,164.29 | $8,814.93 | |
Providence
| Facility | $1,343.07 | $6,164.29 | $8,814.93 |