| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $225.68 | $279.60 | $606.22 |
Univera
| Facility | 26 | $212.27 | $212.27 | $501.96 |
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 | $225.68 | $279.60 | $606.22 |
Univera
| Facility | 26 | $212.27 | $212.27 | $501.96 |