| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $371.54 | $467.74 | $2,454.71 | |
Providence
| Facility | $467.74 | $1,778.28 | $2,511.89 |
Harvest of upper extremity vein, 1 segment, for lower extremity or 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 | $954.99 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $371.54 | $467.74 | $2,454.71 | |
Providence
| Facility | $467.74 | $1,778.28 | $2,511.89 |