| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,820.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $2,821.06 | $14,663.77 | $20,529.28 | |
Providence
| Facility | $2,821.06 | $14,663.77 | $20,529.28 |
Free osteocutaneous flap with microvascular anastomosis; great toe with web space
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,820.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $2,821.06 | $14,663.77 | $20,529.28 | |
Providence
| Facility | $2,821.06 | $14,663.77 | $20,529.28 |