| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.97 | $332.97 | $8,500.00 | |
Medica
| Facility | $332.97 | $447.99 | $998.91 |
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 | $332.97 | $332.97 | $8,500.00 | |
Medica
| Facility | $332.97 | $447.99 | $998.91 |