| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,003.61 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $1,869.35 | $4,552.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |
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 | $2,003.61 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $1,869.35 | $4,552.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |