| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $309.03 | $8,511.38 | |
Medica
| Facility | $309.03 | $416.87 | $912.01 | |
United
| Facility | $7,943.28 | $8,912.51 | $8,912.51 |
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 | $309.03 | $309.03 | $8,511.38 | |
Medica
| Facility | $309.03 | $416.87 | $912.01 | |
United
| Facility | $7,943.28 | $8,912.51 | $8,912.51 |