| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.63 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $19.53 | $89.57 | $128.09 | |
Providence
| Facility | $19.53 | $89.57 | $128.09 |
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 | $46.63 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $19.53 | $89.57 | $128.09 | |
Providence
| Facility | $19.53 | $89.57 | $128.09 |