| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.53 | $124.53 | $10,500.00 | |
Medica
| Facility | $124.53 | $167.93 | $471.60 |
Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.53 | $124.53 | $10,500.00 | |
Medica
| Facility | $124.53 | $167.93 | $471.60 |