| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $3,801.89 | $7,762.47 | |
Providence
| Facility | $2,630.27 | $3,801.89 | $5,754.40 | |
United
| Facility | $891.25 | $11,220.18 | $31,622.78 |
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 | $2,089.30 | $3,801.89 | $7,762.47 | |
Providence
| Facility | $2,630.27 | $3,801.89 | $5,754.40 | |
United
| Facility | $891.25 | $11,220.18 | $31,622.78 |