| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $1,584.89 | $7,762.47 | |
Providence
| Facility | $1,122.02 | $1,621.81 | $3,890.45 | |
United
| Facility | $1,023.29 | $15,135.61 | $23,988.33 |
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 | $1,513.56 | $1,584.89 | $7,762.47 | |
Providence
| Facility | $1,122.02 | $1,621.81 | $3,890.45 | |
United
| Facility | $1,023.29 | $15,135.61 | $23,988.33 |