| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $363.08 | $1,412.54 | |
CareSource
| Facility | $363.08 | $363.08 | $457.09 | |
Cigna
| Facility | $34.67 | $575.44 | $575.44 | |
United
| Facility | $457.09 | $457.09 | $457.09 |
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 | $363.08 | $363.08 | $1,412.54 | |
CareSource
| Facility | $363.08 | $363.08 | $457.09 | |
Cigna
| Facility | $34.67 | $575.44 | $575.44 | |
United
| Facility | $457.09 | $457.09 | $457.09 |