| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,713.06 | $1,713.06 | $1,713.06 | |
Providence
| Facility | $1,713.06 | $2,128.10 | $2,199.84 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $1,713.06 | $1,713.06 | $1,713.06 | |
Providence
| Facility | $1,713.06 | $2,128.10 | $2,199.84 |