| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,571.97 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $659.26 | $3,019.29 | $4,317.58 | |
Providence
| Facility | $659.26 | $3,019.29 | $4,317.58 |
Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,571.97 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $659.26 | $3,019.29 | $4,317.58 | |
Providence
| Facility | $659.26 | $3,019.29 | $4,317.58 |