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Washington, DC rates for HCPCS 75958

Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption), radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$573.95 / $757.62 / $1,539.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$406.66 / $406.66 / $406.66