| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.52 | $4,396.00 | $10,300.00 | |
Hometown Health
| Professional | $0.18 | $17.46 | $24.45 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |
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 | $18.52 | $4,396.00 | $10,300.00 | |
Hometown Health
| Professional | $0.18 | $17.46 | $24.45 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |