| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,900.24 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,216.13 | $5,570.49 | $7,965.80 | |
Providence
| Facility | $1,216.13 | $5,570.49 | $7,965.80 |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,900.24 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,216.13 | $5,570.49 | $7,965.80 | |
Providence
| Facility | $1,216.13 | $5,570.49 | $7,965.80 |