| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,661.94 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $701.47 | $3,192.07 | $4,564.66 | |
Providence
| Facility | $701.47 | $3,192.07 | $4,564.66 |
Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg, modified maze procedure) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,661.94 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $701.47 | $3,192.07 | $4,564.66 | |
Providence
| Facility | $701.47 | $3,192.07 | $4,564.66 |