| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $3,811.44 | $9,859.00 | |
Anthem BCBS
| Facility | $3,669.00 | $15,257.01 | $26,598.99 | |
United
| Facility | $12,399.00 | $12,399.00 | $12,399.00 |
Teaec W/Wo Patch Graft Deep Profunda Femoral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $3,811.44 | $9,859.00 | |
Anthem BCBS
| Facility | $3,669.00 | $15,257.01 | $26,598.99 | |
United
| Facility | $12,399.00 | $12,399.00 | $12,399.00 |