| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,002.91 | $1,276.42 | $1,479.33 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |
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 | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,002.91 | $1,276.42 | $1,479.33 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |