| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $995.91 | $1,284.72 | $2,129.54 | |
United
| Facility | $3,522.00 | $3,522.00 | $3,522.00 |
Teaec W/Wo Patch Graft Deep Profunda Femoral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $995.91 | $1,284.72 | $2,129.54 | |
United
| Facility | $3,522.00 | $3,522.00 | $3,522.00 |