| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $1,148.15 | $1,174.90 | |
Martin's Point
| Facility | $588.84 | $707.95 | $1,174.90 |
Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $1,148.15 | $1,174.90 | |
Martin's Point
| Facility | $588.84 | $707.95 | $1,174.90 |