| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $2,691.53 | $8,511.38 | |
Medica
| Facility | $2,691.53 | $3,388.44 | $5,888.44 | |
United
| Facility | $5,370.32 | $5,888.44 | $14,125.38 |
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 | $2,691.53 | $2,691.53 | $8,511.38 | |
Medica
| Facility | $2,691.53 | $3,388.44 | $5,888.44 | |
United
| Facility | $5,370.32 | $5,888.44 | $14,125.38 |