| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $10,000.00 | $16,982.44 | |
Moda Health
| Facility | $1,380.38 | $1,778.28 | $9,332.54 | |
Providence
| Facility | $1,778.28 | $6,606.93 | $9,549.93 |
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $10,000.00 | $16,982.44 | |
Moda Health
| Facility | $1,380.38 | $1,778.28 | $9,332.54 | |
Providence
| Facility | $1,778.28 | $6,606.93 | $9,549.93 |