| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $5,623.41 | $10,471.29 | |
Medica
| Facility | $54.95 | $501.19 | $1,659.59 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 |
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 | $831.76 | $5,623.41 | $10,471.29 | |
Medica
| Facility | $54.95 | $501.19 | $1,659.59 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 |