| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $204.31 | $345.76 | $607.37 |
Martin's Point
| Facility | 26 | $185.74 | $345.76 | $607.37 |
UPMC Health Plan
| Facility | 26 | $184.18 | $184.18 | $213.71 |
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 | $204.31 | $345.76 | $607.37 |
Martin's Point
| Facility | 26 | $185.74 | $345.76 | $607.37 |
UPMC Health Plan
| Facility | 26 | $184.18 | $184.18 | $213.71 |