| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $346.74 | $1,318.26 | $1,862.09 | |
Providence
| Facility | $346.74 | $1,318.26 | $1,862.09 |
Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $346.74 | $1,318.26 | $1,862.09 | |
Providence
| Facility | $346.74 | $1,318.26 | $1,862.09 |