| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,699.75 | $15,699.75 | $15,699.75 | |
Martin's Point
| Facility | $15,699.75 | $15,699.75 | $15,699.75 |
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 | $15,699.75 | $15,699.75 | $15,699.75 | |
Martin's Point
| Facility | $15,699.75 | $15,699.75 | $15,699.75 |