| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $1,186.92 | $4,502.00 | |
United
| Facility | $909.00 | $1,934.00 | $5,562.00 |
Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $1,186.92 | $4,502.00 | |
United
| Facility | $909.00 | $1,934.00 | $5,562.00 |