| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $9,120.11 | $16,595.87 | |
Medcost
| Facility | $3,162.28 | $4,570.88 | $8,709.64 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |
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 | $4,466.84 | $9,120.11 | $16,595.87 | |
Medcost
| Facility | $3,162.28 | $4,570.88 | $8,709.64 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |