| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,250.00 | |
BCBS
| Facility | $23,805.76 | $28,889.41 | $38,865.50 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |
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 | $960.00 | $1,728.00 | $2,250.00 | |
BCBS
| Facility | $23,805.76 | $28,889.41 | $38,865.50 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |