| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,018.63 | $7,838.38 | $8,226.04 | |
Providence
| Facility | $1,023.52 | $1,302.66 | $1,490.65 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |
Repair blood vessel with graft other than vein; lower extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,018.63 | $7,838.38 | $8,226.04 | |
Providence
| Facility | $1,023.52 | $1,302.66 | $1,490.65 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |