| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,019.95 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,174.90 | $1,513.56 | $7,943.28 | |
Providence
| Facility | $1,513.56 | $5,623.41 | $8,128.31 |
Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,019.95 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,174.90 | $1,513.56 | $7,943.28 | |
Providence
| Facility | $1,513.56 | $5,623.41 | $8,128.31 |