| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,912.51 | $17,378.01 | $31,622.78 | |
United
| Professional | $416.87 | $630.96 | $1,258.93 |
Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); each additional proximal extension (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,912.51 | $17,378.01 | $31,622.78 | |
United
| Professional | $416.87 | $630.96 | $1,258.93 |