| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $1,995.26 | $3,890.45 | |
United
| Facility | $1,548.82 | $3,981.07 | $11,748.98 |
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 | $1,513.56 | $1,995.26 | $3,890.45 | |
United
| Facility | $1,548.82 | $3,981.07 | $11,748.98 |