| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,255.11 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,356.28 | $6,252.12 | $8,940.53 | |
Providence
| Facility | $1,356.28 | $6,252.12 | $8,940.53 |
Bypass graft, with other than vein; popliteal-tibial or -peroneal artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,255.11 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,356.28 | $6,252.12 | $8,940.53 | |
Providence
| Facility | $1,356.28 | $6,252.12 | $8,940.53 |