| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.59 | $336.59 | $1,400.00 | |
CareSource
| Facility | $333.91 | $386.22 | $420.80 | |
Cigna
| Facility | $359.00 | $359.00 | $359.00 |
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 | $336.59 | $336.59 | $1,400.00 | |
CareSource
| Facility | $333.91 | $386.22 | $420.80 | |
Cigna
| Facility | $359.00 | $359.00 | $359.00 |