| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $587.70 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $246.52 | $1,128.79 | $1,614.17 | |
Providence
| Facility | $246.52 | $1,128.79 | $1,614.17 |
Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $587.70 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $246.52 | $1,128.79 | $1,614.17 | |
Providence
| Facility | $246.52 | $1,128.79 | $1,614.17 |