| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,754.23 | $5,623.41 | $12,302.69 | |
Medica
| Facility | $54.95 | $2,454.71 | $10,000.00 | |
United
| Facility | $2,818.38 | $5,623.41 | $10,715.19 |
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 | $2,754.23 | $5,623.41 | $12,302.69 | |
Medica
| Facility | $54.95 | $2,454.71 | $10,000.00 | |
United
| Facility | $2,818.38 | $5,623.41 | $10,715.19 |