| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,221.00 | $4,467.00 | $6,915.00 | |
Aetna
| Professional | $426.00 | $939.00 | $5,595.00 | |
CareSource
| Facility | $74,999.25 | $74,999.25 | $74,999.25 |
Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,221.00 | $4,467.00 | $6,915.00 | |
Aetna
| Professional | $426.00 | $939.00 | $5,595.00 | |
CareSource
| Facility | $74,999.25 | $74,999.25 | $74,999.25 |