| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $32.36 | $33.11 | $323.59 | |
United
| Facility | $616.60 | $3,235.94 | $6,165.95 | |
United
| Professional | $363.08 | $501.19 | $891.25 |
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 |
|---|---|---|---|---|---|
Molina
| Professional | $32.36 | $33.11 | $323.59 | |
United
| Facility | $616.60 | $3,235.94 | $6,165.95 | |
United
| Professional | $363.08 | $501.19 | $891.25 |