| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $798.27 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $685.70 | $903.58 | $1,117.36 | |
United
| Facility | $3,085.00 | $3,503.00 | $15,732.00 |
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 | $798.27 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $685.70 | $903.58 | $1,117.36 | |
United
| Facility | $3,085.00 | $3,503.00 | $15,732.00 |