| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,064.50 | $1,064.50 | $8,500.00 | |
Medica
| Facility | $1,064.50 | $1,434.35 | $3,193.50 |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, common femoral artery (profunda femoris, superficial femoral)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,064.50 | $1,064.50 | $8,500.00 | |
Medica
| Facility | $1,064.50 | $1,434.35 | $3,193.50 |