| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,894.00 | $1,894.00 | $17,823.00 | |
Aetna
| Professional | $765.00 | $765.00 | $1,451.00 | |
Molina
| Professional | $50.00 | $58.40 | $70.00 |
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 | $1,894.00 | $1,894.00 | $17,823.00 | |
Aetna
| Professional | $765.00 | $765.00 | $1,451.00 | |
Molina
| Professional | $50.00 | $58.40 | $70.00 |