| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $476.45 | $951.10 | $16,467.00 | |
Medcost
| Facility | $362.45 | $559.09 | $825.04 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
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 | $476.45 | $951.10 | $16,467.00 | |
Medcost
| Facility | $362.45 | $559.09 | $825.04 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |