| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | 26 | $126.70 | $126.70 | $126.70 |
Cigna
| Facility | 26 | $373.12 | $529.13 | $1,272.91 |
Health Partners
| Facility | 26 | $293.80 | $483.76 | $1,002.29 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | 26 | $126.70 | $126.70 | $126.70 |
Cigna
| Facility | 26 | $373.12 | $529.13 | $1,272.91 |
Health Partners
| Facility | 26 | $293.80 | $483.76 | $1,002.29 |