| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.84 | $15.84 | $8,500.00 | |
Medica
| Facility | $15.84 | $21.17 | $47.52 |
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 | $15.84 | $15.84 | $8,500.00 | |
Medica
| Facility | $15.84 | $21.17 | $47.52 |