| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.49 | $288.49 | $8,500.00 | |
Medica
| Facility | $288.49 | $364.30 | $865.47 |
Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.49 | $288.49 | $8,500.00 | |
Medica
| Facility | $288.49 | $364.30 | $865.47 |