| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,214.85 | $1,214.85 | $8,500.00 | |
Medica
| Facility | $1,214.85 | $1,579.32 | $2,212.75 |
Muscle, myocutaneous, or fasciocutaneous flap; upper extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,214.85 | $1,214.85 | $8,500.00 | |
Medica
| Facility | $1,214.85 | $1,579.32 | $2,212.75 |