| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,776.00 | $5,866.00 | $16,467.00 | |
Aetna
| Professional | $293.00 | $450.00 | $3,776.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
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 | $3,776.00 | $5,866.00 | $16,467.00 | |
Aetna
| Professional | $293.00 | $450.00 | $3,776.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |