| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $18.62 | $23.99 | $125.89 | |
Providence
| Facility | $23.99 | $89.13 | $128.82 |
Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $18.62 | $23.99 | $125.89 | |
Providence
| Facility | $23.99 | $89.13 | $128.82 |