| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.81 | $141.81 | $8,500.00 | |
Medica
| Facility | $141.81 | $190.56 | $425.43 |
Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.81 | $141.81 | $8,500.00 | |
Medica
| Facility | $141.81 | $190.56 | $425.43 |