| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,507.20 | $3,013.22 | $16,467.00 | |
Medcost
| Facility | $1,147.25 | $1,748.04 | $2,469.33 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
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 | $1,507.20 | $3,013.22 | $16,467.00 | |
Medcost
| Facility | $1,147.25 | $1,748.04 | $2,469.33 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |