| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $3,235.94 | $8,511.38 | |
Medica
| Facility | $3,162.28 | $4,265.80 | $9,549.93 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |
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 | $3,162.28 | $3,235.94 | $8,511.38 | |
Medica
| Facility | $3,162.28 | $4,265.80 | $9,549.93 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |