| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $163.59 | $163.59 | $163.59 |
Kaiser Permanente
| Professional | 26 | $186.84 | $244.73 | $406.66 |
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 | $163.59 | $163.59 | $163.59 |
Kaiser Permanente
| Professional | 26 | $186.84 | $244.73 | $406.66 |