| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,695.13 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,545.45 | $7,097.26 | $10,149.08 | |
Providence
| Facility | $1,545.45 | $7,097.26 | $10,149.08 |
Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,695.13 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,545.45 | $7,097.26 | $10,149.08 | |
Providence
| Facility | $1,545.45 | $7,097.26 | $10,149.08 |