| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,538.82 | $1,872.09 | $1,920.41 | |
United
| Facility | $3,085.00 | $3,503.00 | $15,732.00 |
Thromboendarterectomy, including patch graft, if performed; popliteal artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,538.82 | $1,872.09 | $1,920.41 | |
United
| Facility | $3,085.00 | $3,503.00 | $15,732.00 |