| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.72 | $4,215.32 | $4,215.32 | |
Medica
| Facility | $154.72 | $211.26 | $464.16 |
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 | $154.72 | $4,215.32 | $4,215.32 | |
Medica
| Facility | $154.72 | $211.26 | $464.16 |