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 | $622.62 | $622.62 | $622.62 | |
CareSource
| Facility | $415.79 | $482.18 | $525.34 | |
CareSource
| Professional | $466.97 | $466.97 | $466.97 | |
United
| Professional | $334.66 | $521.99 | $774.94 |