| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,193.32 | $1,193.32 | $8,500.00 | |
Medica
| Facility | $1,193.32 | $1,625.13 | $3,579.96 |
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 | $1,193.32 | $1,193.32 | $8,500.00 | |
Medica
| Facility | $1,193.32 | $1,625.13 | $3,579.96 |