| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.64 | $209.64 | $1,400.00 | |
CareSource
| Facility | $208.26 | $241.26 | $262.86 | |
Cigna
| Facility | $223.45 | $223.45 | $223.45 |
Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.64 | $209.64 | $1,400.00 | |
CareSource
| Facility | $208.26 | $241.26 | $262.86 | |
Cigna
| Facility | $223.45 | $223.45 | $223.45 |