| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $456.37 | $460.48 | $559.66 | |
Kaiser Permanente
| Professional | $850.93 | $850.93 | $850.93 | |
United
| Professional | $367.86 | $574.79 | $1,147.26 |
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 |
|---|---|---|---|---|---|
CareFirst
| Professional | $456.37 | $460.48 | $559.66 | |
Kaiser Permanente
| Professional | $850.93 | $850.93 | $850.93 | |
United
| Professional | $367.86 | $574.79 | $1,147.26 |