| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $176.13 | $176.13 | $236.72 |
Hometown Health
| Professional | 26 | $1.08 | $211.50 | $297.36 |
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 | $176.13 | $176.13 | $236.72 |
Hometown Health
| Professional | 26 | $1.08 | $211.50 | $297.36 |