| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.16 | $5,982.00 | $11,298.00 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |
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 | $348.16 | $5,982.00 | $11,298.00 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |