| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,461.51 | $5,076.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $2,602.14 | $2,602.14 | $2,602.14 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |
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 | $1,461.51 | $5,076.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $2,602.14 | $2,602.14 | $2,602.14 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |