| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $2,137.96 | $7,762.47 | |
Kaiser Permanente
| Professional | $707.95 | $758.58 | $758.58 | |
United
| Facility | $645.65 | $2,344.23 | $16,218.10 |
Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $2,137.96 | $7,762.47 | |
Kaiser Permanente
| Professional | $707.95 | $758.58 | $758.58 | |
United
| Facility | $645.65 | $2,344.23 | $16,218.10 |