| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,275.94 | $2,275.94 | $8,500.00 | |
Medica
| Facility | $2,275.94 | $2,895.36 | $4,045.08 |
Free muscle or myocutaneous flap with microvascular anastomosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,275.94 | $2,275.94 | $8,500.00 | |
Medica
| Facility | $2,275.94 | $2,895.36 | $4,045.08 |