| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,968.89 | $2,968.89 | $8,500.00 | |
Medica
| Facility | $2,968.89 | $3,866.61 | $5,047.10 |
Free osteocutaneous flap with microvascular anastomosis; great toe with web space
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,968.89 | $2,968.89 | $8,500.00 | |
Medica
| Facility | $2,968.89 | $3,866.61 | $5,047.10 |