| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $373.40 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $394.22 | $501.73 | $554.66 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |
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 | $373.40 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $394.22 | $501.73 | $554.66 | |
United
| Facility | $775.00 | $1,327.00 | $1,327.00 |