| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $384.66 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $687.09 | $687.09 | $687.09 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
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 | $384.66 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $687.09 | $687.09 | $687.09 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |