| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $1,658.60 | $4,552.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |
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 | $1,930.00 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $1,658.60 | $4,552.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |