| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $174.68 | $197.97 | $232.90 |
Kaiser Permanente
| Professional | 26 | $189.77 | $207.02 | $241.53 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $174.68 | $197.97 | $232.90 |
Kaiser Permanente
| Professional | 26 | $189.77 | $207.02 | $241.53 |