| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.15 | $62.15 | $8,500.00 | |
Medica
| Facility | $62.15 | $78.08 | $105.30 |
Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.15 | $62.15 | $8,500.00 | |
Medica
| Facility | $62.15 | $78.08 | $105.30 |