| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $993.31 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $416.91 | $1,907.85 | $2,728.23 | |
Providence
| Facility | $416.91 | $1,907.85 | $2,728.23 |
Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $993.31 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $416.91 | $1,907.85 | $2,728.23 | |
Providence
| Facility | $416.91 | $1,907.85 | $2,728.23 |