| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,885.17 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $791.20 | $3,620.83 | $5,177.79 | |
Providence
| Facility | $791.20 | $3,620.83 | $5,177.79 |
Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,885.17 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $791.20 | $3,620.83 | $5,177.79 | |
Providence
| Facility | $791.20 | $3,620.83 | $5,177.79 |