| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,630.27 | $6,606.93 | |
Medica
| Facility | $138.04 | $602.56 | $2,570.40 | |
United
| Facility | $138.04 | $630.96 | $1,659.59 |
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 | $1,000.00 | $2,630.27 | $6,606.93 | |
Medica
| Facility | $138.04 | $602.56 | $2,570.40 | |
United
| Facility | $138.04 | $630.96 | $1,659.59 |