| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | 26 | $380.19 | $416.87 | $467.74 |
Pacific Source
| Facility | 26 | $302.00 | $354.81 | $380.19 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | 26 | $380.19 | $416.87 | $467.74 |
Pacific Source
| Facility | 26 | $302.00 | $354.81 | $380.19 |