| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $363.08 | $524.81 | $831.76 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |
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 | $478.63 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $363.08 | $524.81 | $831.76 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |