| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $640.80 | $640.80 | $1,985.43 | |
BCBS
| Professional | $546.91 | $655.73 | $718.94 | |
United
| Professional | $392.64 | $640.82 | $878.97 |
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 |
|---|---|---|---|---|---|
Aetna
| Professional | $640.80 | $640.80 | $1,985.43 | |
BCBS
| Professional | $546.91 | $655.73 | $718.94 | |
United
| Professional | $392.64 | $640.82 | $878.97 |