| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $574.24 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $241.39 | $1,102.93 | $1,577.19 | |
Providence
| Facility | $241.39 | $1,102.93 | $1,577.19 |
Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $574.24 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $241.39 | $1,102.93 | $1,577.19 | |
Providence
| Facility | $241.39 | $1,102.93 | $1,577.19 |