| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,176.62 | $6,450.00 | $11,332.00 | |
United
| Facility | $3,885.00 | $9,969.00 | $19,690.00 |
Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,176.62 | $6,450.00 | $11,332.00 | |
United
| Facility | $3,885.00 | $9,969.00 | $19,690.00 |