| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,419.13 | $1,419.13 | $1,419.13 | |
Providence
| Facility | $1,419.13 | $1,768.65 | $1,835.52 |
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,419.13 | $1,419.13 | $1,419.13 | |
Providence
| Facility | $1,419.13 | $1,768.65 | $1,835.52 |