| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.04 | $492.56 | $7,439.00 | |
Medcost
| Facility | $309.04 | $438.82 | $835.09 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $700.99 | $4,576.84 |
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 | $309.04 | $492.56 | $7,439.00 | |
Medcost
| Facility | $309.04 | $438.82 | $835.09 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $700.99 | $4,576.84 |