| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $14.79 | $16.60 | $30.90 | |
United
| Facility | $128.82 | $128.82 | $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 |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $14.79 | $16.60 | $30.90 | |
United
| Facility | $128.82 | $128.82 | $128.82 |