| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $197.73 | $244.64 | $530.53 |
Univera
| Facility | 26 | $188.07 | $188.07 | $578.88 |
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 | $197.73 | $244.64 | $530.53 |
Univera
| Facility | 26 | $188.07 | $188.07 | $578.88 |