| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $641.36 | $641.36 | $641.36 |
Cigna
| Facility | 26 | $798.39 | $932.98 | $1,504.87 |
Quartz
| Facility | 26 | $1,482.02 | $1,482.02 | $1,482.02 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $641.36 | $641.36 | $641.36 |
Cigna
| Facility | 26 | $798.39 | $932.98 | $1,504.87 |
Quartz
| Facility | 26 | $1,482.02 | $1,482.02 | $1,482.02 |