| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,186.97 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $498.00 | $1,492.54 | $6,155.68 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |
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 | $1,186.97 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $498.00 | $1,492.54 | $6,155.68 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |