| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $805.00 | $805.00 | $805.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $374.06 | $519.91 | $1,023.29 |
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 |
|---|---|---|---|---|---|
BCBS
| Professional | $805.00 | $805.00 | $805.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $374.06 | $519.91 | $1,023.29 |