| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,916.05 | $2,625.02 | $6,293.32 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,916.05 | $2,625.02 | $6,293.32 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |