| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.02 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $96.64 | $443.71 | $634.51 | |
Providence
| Facility | $96.64 | $443.71 | $634.51 |
Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.02 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $96.64 | $443.71 | $634.51 | |
Providence
| Facility | $96.64 | $443.71 | $634.51 |