| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $194.98 | $8,511.38 | |
Medica
| Facility | $190.55 | $257.04 | $575.44 | |
United
| Facility | $4,677.35 | $5,128.61 | $5,128.61 |
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 | $190.55 | $194.98 | $8,511.38 | |
Medica
| Facility | $190.55 | $257.04 | $575.44 | |
United
| Facility | $4,677.35 | $5,128.61 | $5,128.61 |