| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,548.13 | $5,011.87 | $7,762.47 | |
Providence
| Facility | $4,897.79 | $5,495.41 | $12,302.69 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |
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 | $3,548.13 | $5,011.87 | $7,762.47 | |
Providence
| Facility | $4,897.79 | $5,495.41 | $12,302.69 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |