| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $924.91 | $924.91 | $8,500.00 | |
Medica
| Facility | $924.91 | $1,261.97 | $2,774.73 |
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 | $924.91 | $924.91 | $8,500.00 | |
Medica
| Facility | $924.91 | $1,261.97 | $2,774.73 |