| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,052.97 | $5,975.00 | $10,692.00 | |
Horizon BCBS
| Facility | $4,024.24 | $4,447.22 | $8,481.31 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |
Muscle, myocutaneous, or fasciocutaneous flap; upper extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,052.97 | $5,975.00 | $10,692.00 | |
Horizon BCBS
| Facility | $4,024.24 | $4,447.22 | $8,481.31 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |