| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $1,819.70 | $7,762.47 | |
Providence
| Facility | $1,513.56 | $1,905.46 | $4,570.88 | |
United
| Facility | $1,023.29 | $15,135.61 | $23,988.33 |
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 | $1,778.28 | $1,819.70 | $7,762.47 | |
Providence
| Facility | $1,513.56 | $1,905.46 | $4,570.88 | |
United
| Facility | $1,023.29 | $15,135.61 | $23,988.33 |