| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,772.37 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $3,981.07 | $18,197.01 | $25,703.96 | |
Providence
| Facility | $4,677.35 | $18,197.01 | $25,703.96 |
Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle or individual arch vessel reimplantation)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,772.37 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $3,981.07 | $18,197.01 | $25,703.96 | |
Providence
| Facility | $4,677.35 | $18,197.01 | $25,703.96 |