| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $154.15 | $154.15 | $208.08 |
Hometown Health
| Professional | 26 | $0.90 | $184.47 | $260.25 |
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 | $154.15 | $154.15 | $208.08 |
Hometown Health
| Professional | 26 | $0.90 | $184.47 | $260.25 |