| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,749.77 | $8,965.00 | |
Aetna
| Professional | $472.50 | $805.00 | $1,110.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |
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 | $100.00 | $1,749.77 | $8,965.00 | |
Aetna
| Professional | $472.50 | $805.00 | $1,110.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |