| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,278.35 | $2,278.35 | $8,500.00 | |
Medica
| Facility | $2,278.35 | $2,860.26 | $4,112.60 |
Free Fascial Flap W/Microvascular Anastomosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,278.35 | $2,278.35 | $8,500.00 | |
Medica
| Facility | $2,278.35 | $2,860.26 | $4,112.60 |