| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $312.81 | $341.24 | $398.12 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |
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 | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $312.81 | $341.24 | $398.12 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 |