| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,951.21 | $3,388.44 | $4,570.88 | |
Aetna
| Professional | $1,023.29 | $2,818.38 | $2,818.38 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
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 | $2,951.21 | $3,388.44 | $4,570.88 | |
Aetna
| Professional | $1,023.29 | $2,818.38 | $2,818.38 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |