| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $6,456.54 | $20,892.96 | |
Aetna
| Professional | $501.19 | $1,148.15 | $4,365.16 | |
Molina
| Professional | $30.20 | $60.26 | $79.43 |
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 | $2,290.87 | $6,456.54 | $20,892.96 | |
Aetna
| Professional | $501.19 | $1,148.15 | $4,365.16 | |
Molina
| Professional | $30.20 | $60.26 | $79.43 |