| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $464.47 | $932.43 | $16,467.00 | |
Medcost
| Facility | $353.40 | $532.80 | $767.84 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |
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 | $464.47 | $932.43 | $16,467.00 | |
Medcost
| Facility | $353.40 | $532.80 | $767.84 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |