| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.35 | $6,607.00 | $10,492.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |
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 | $526.35 | $6,607.00 | $10,492.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |