| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,815.23 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,602.55 | $7,327.96 | $10,478.98 | |
Providence
| Facility | $1,602.55 | $7,327.96 | $10,478.98 |
Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,815.23 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,602.55 | $7,327.96 | $10,478.98 | |
Providence
| Facility | $1,602.55 | $7,327.96 | $10,478.98 |