| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $893.49 | $893.49 | $8,500.00 | |
Medica
| Facility | $893.49 | $1,212.92 | $2,680.47 |
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $893.49 | $893.49 | $8,500.00 | |
Medica
| Facility | $893.49 | $1,212.92 | $2,680.47 |