| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $10,964.78 | $16,595.87 | |
Moda Health
| Facility | $1,905.46 | $1,995.26 | $16,218.10 | |
Providence
| Facility | $1,905.46 | $3,162.28 | $16,218.10 |
Free muscle or myocutaneous flap with microvascular anastomosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $10,964.78 | $16,595.87 | |
Moda Health
| Facility | $1,905.46 | $1,995.26 | $16,218.10 | |
Providence
| Facility | $1,905.46 | $3,162.28 | $16,218.10 |