| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $561.62 | $3,038.00 | $4,387.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |
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 | $561.62 | $3,038.00 | $4,387.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |