| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,656.98 | $3,316.57 | $16,467.00 | |
Medcost
| Facility | $1,302.23 | $1,888.73 | $2,720.70 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
Teaec W/Graft Tibial/Peroneal Art 1st Vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,656.98 | $3,316.57 | $16,467.00 | |
Medcost
| Facility | $1,302.23 | $1,888.73 | $2,720.70 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |