| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,870.00 | $3,294.00 | $4,387.00 | |
Aetna
| Professional | $1,023.00 | $2,843.00 | $4,387.00 | |
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 | $2,870.00 | $3,294.00 | $4,387.00 | |
Aetna
| Professional | $1,023.00 | $2,843.00 | $4,387.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |