| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Midlands
| Facility | 26 | $749.59 | $749.59 | $749.59 |
Sanford Health Plan
| Professional | 26 | $242.18 | $316.04 | $360.32 |
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 |
|---|---|---|---|---|---|
Midlands
| Facility | 26 | $749.59 | $749.59 | $749.59 |
Sanford Health Plan
| Professional | 26 | $242.18 | $316.04 | $360.32 |