| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $2,426.88 | $2,426.88 | $2,426.88 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |
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 | $1,017.00 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $2,426.88 | $2,426.88 | $2,426.88 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |