| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $495.98 | $2,273.08 | $3,250.50 | |
Providence
| Facility | $495.98 | $2,273.08 | $3,250.50 |
Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $495.98 | $2,273.08 | $3,250.50 | |
Providence
| Facility | $495.98 | $2,273.08 | $3,250.50 |