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Pennsylvania rates for HCPCS 75956

Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$359.67 / $607.60 / $1,069.19
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$326.97 / $607.60 / $1,069.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$323.91 / $323.91 / $392.15