| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,612.79 | $1,612.79 | $8,500.00 | |
Medica
| Facility | $1,612.79 | $2,185.13 | $4,838.37 |
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 | $1,612.79 | $1,612.79 | $8,500.00 | |
Medica
| Facility | $1,612.79 | $2,185.13 | $4,838.37 |