| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.97 | $5,982.00 | $11,298.00 | |
United
| Facility | $1,846.00 | $7,273.00 | $10,536.00 |
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 | $387.97 | $5,982.00 | $11,298.00 | |
United
| Facility | $1,846.00 | $7,273.00 | $10,536.00 |