| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $362.13 | $362.13 | $1,400.00 | |
CareSource
| Facility | $359.80 | $415.34 | $452.52 | |
Cigna
| Facility | $386.53 | $386.53 | $386.53 |
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 | $362.13 | $362.13 | $1,400.00 | |
CareSource
| Facility | $359.80 | $415.34 | $452.52 | |
Cigna
| Facility | $386.53 | $386.53 | $386.53 |