| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,184.00 | $3,131.00 | $8,000.00 | |
Aetna
| Professional | $1,686.00 | $2,507.00 | $4,573.00 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
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 | $1,184.00 | $3,131.00 | $8,000.00 | |
Aetna
| Professional | $1,686.00 | $2,507.00 | $4,573.00 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |