| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,769.10 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,159.31 | $5,318.62 | $7,605.63 | |
Providence
| Facility | $1,159.31 | $5,318.62 | $7,605.63 |
Delayed placement of distal extension prosthesis(es) from the level of the left subclavian artery to the celiac artery, after endovascular repair of descending thoracic aorta, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,769.10 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,159.31 | $5,318.62 | $7,605.63 | |
Providence
| Facility | $1,159.31 | $5,318.62 | $7,605.63 |