| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $194.37 | $212.04 | $247.38 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |
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 | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $194.37 | $212.04 | $247.38 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |