| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $537.03 | $7,762.47 | |
Providence
| Facility | $416.87 | $562.34 | $1,348.96 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |
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 | $512.86 | $537.03 | $7,762.47 | |
Providence
| Facility | $416.87 | $562.34 | $1,348.96 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |