| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $4,833.00 | $16,400.00 | |
Medica
| Facility | $979.91 | $2,744.00 | $13,541.98 | |
United
| Facility | $1,851.00 | $7,307.00 | $13,541.98 |
Repair blood vessel with graft other than vein; upper extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $4,833.00 | $16,400.00 | |
Medica
| Facility | $979.91 | $2,744.00 | $13,541.98 | |
United
| Facility | $1,851.00 | $7,307.00 | $13,541.98 |