| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,570.60 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,498.90 | $6,858.06 | $9,807.03 | |
Providence
| Facility | $1,498.90 | $6,858.06 | $9,807.03 |
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, popliteal artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,570.60 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,498.90 | $6,858.06 | $9,807.03 | |
Providence
| Facility | $1,498.90 | $6,858.06 | $9,807.03 |