| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $179.80 | $302.33 | $534.48 |
Martin's Point
| Facility | 26 | $163.44 | $302.33 | $534.48 |
UPMC Health Plan
| Facility | 26 | $161.33 | $161.33 | $196.70 |
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 | $179.80 | $302.33 | $534.48 |
Martin's Point
| Facility | 26 | $163.44 | $302.33 | $534.48 |
UPMC Health Plan
| Facility | 26 | $161.33 | $161.33 | $196.70 |