| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | 26 | $204.17 | $281.84 | $467.74 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
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 |
|---|---|---|---|---|---|
Hally Health
| Professional | 26 | $204.17 | $281.84 | $467.74 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |