| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $363.08 | $512.86 | $812.83 | |
United
| Facility | $380.19 | $1,202.26 | $3,548.13 |
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 | $467.74 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $363.08 | $512.86 | $812.83 | |
United
| Facility | $380.19 | $1,202.26 | $3,548.13 |