| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $7,413.10 | $11,748.98 | |
Horizon BCBS
| Facility | $14,454.40 | $19,952.62 | $38,018.94 | |
United
| Facility | $4,570.88 | $9,120.11 | $21,379.62 |
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 | $4,466.84 | $7,413.10 | $11,748.98 | |
Horizon BCBS
| Facility | $14,454.40 | $19,952.62 | $38,018.94 | |
United
| Facility | $4,570.88 | $9,120.11 | $21,379.62 |