| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $229.72 | $555.73 | $694.62 |
Medica
| Facility | 26 | $372.83 | $372.83 | $737.24 |
Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $229.72 | $555.73 | $694.62 |
Medica
| Facility | 26 | $372.83 | $372.83 | $737.24 |