| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.25 | $2,690.00 | $10,439.00 | |
Medica
| Facility | $91.33 | $147.43 | $476.00 | |
Medica
| Facility | AS | $26.44 | $26.44 | $48.29 |
United
| Facility | $191.00 | $550.00 | $1,769.00 |
Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.25 | $2,690.00 | $10,439.00 | |
Medica
| Facility | $91.33 | $147.43 | $476.00 | |
Medica
| Facility | AS | $26.44 | $26.44 | $48.29 |
United
| Facility | $191.00 | $550.00 | $1,769.00 |