| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,476.59 | $10,900.00 | $17,695.00 | |
Moda Health
| Facility | $1,047.80 | $4,756.80 | $6,802.22 | |
Providence
| Facility | $1,047.80 | $4,756.80 | $6,802.22 |
Repair blood vessel with graft other than vein; upper extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,476.59 | $10,900.00 | $17,695.00 | |
Moda Health
| Facility | $1,047.80 | $4,756.80 | $6,802.22 | |
Providence
| Facility | $1,047.80 | $4,756.80 | $6,802.22 |