| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $199.53 | $8,511.38 | |
Medica
| Facility | $190.55 | $263.03 | $575.44 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |
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 | $190.55 | $199.53 | $8,511.38 | |
Medica
| Facility | $190.55 | $263.03 | $575.44 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |