| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,241.97 | $9,859.00 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |
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 | $100.00 | $1,241.97 | $9,859.00 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |