| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $398.11 | $467.74 | $891.25 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
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 | $457.09 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $398.11 | $467.74 | $891.25 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |