| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $300.80 | $515.40 | $935.58 |
Hally Health
| Professional | 26 | $310.39 | $431.74 | $791.50 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); not 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 | $300.80 | $515.40 | $935.58 |
Hally Health
| Professional | 26 | $310.39 | $431.74 | $791.50 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |