| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Aetna
| Professional | $4,500.00 | $4,500.00 | $7,045.00 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |
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 | $1,407.00 | $4,500.00 | $7,045.00 | |
Aetna
| Professional | $4,500.00 | $4,500.00 | $7,045.00 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |