| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,313.86 | $1,313.86 | $8,500.00 | |
Medica
| Facility | $1,313.86 | $1,747.68 | $3,941.58 |
In-situ vein bypass; popliteal-tibial, peroneal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,313.86 | $1,313.86 | $8,500.00 | |
Medica
| Facility | $1,313.86 | $1,747.68 | $3,941.58 |