| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $1,961.59 | $3,099.66 | $3,954.43 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |
Free Fascial Flap W/Microvascular Anastomosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $1,961.59 | $3,099.66 | $3,954.43 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |