| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,820.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $2,545.53 | $13,555.37 | $18,977.52 | |
Providence
| Facility | $2,545.53 | $13,555.37 | $18,977.52 |
Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,820.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $2,545.53 | $13,555.37 | $18,977.52 | |
Providence
| Facility | $2,545.53 | $13,555.37 | $18,977.52 |