| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $526.33 | $526.33 | $526.33 | |
Providence
| Facility | $526.33 | $659.75 | $680.57 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $526.33 | $526.33 | $526.33 | |
Providence
| Facility | $526.33 | $659.75 | $680.57 |