| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $2,932.22 | $6,116.60 | $6,116.60 | |
United
| Facility | $2,041.31 | $4,165.00 | $26,408.00 |
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 | $1,614.00 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $2,932.22 | $6,116.60 | $6,116.60 | |
United
| Facility | $2,041.31 | $4,165.00 | $26,408.00 |