| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $319.64 | $319.64 | $319.64 |
Cigna
| Facility | 26 | $399.20 | $466.49 | $752.44 |
Quartz
| Facility | 26 | $737.24 | $737.24 | $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 | $319.64 | $319.64 | $319.64 |
Cigna
| Facility | 26 | $399.20 | $466.49 | $752.44 |
Quartz
| Facility | 26 | $737.24 | $737.24 | $737.24 |