| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $5,859.50 | $8,203.29 | $8,379.09 | |
Providence
| Facility | $5,859.50 | $8,203.29 | $8,379.09 |
Muscle, myocutaneous, or fasciocutaneous flap; upper extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $5,859.50 | $8,203.29 | $8,379.09 | |
Providence
| Facility | $5,859.50 | $8,203.29 | $8,379.09 |