| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.81 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $233.18 | $1,387.83 | $1,942.96 | |
Providence
| Facility | $233.18 | $1,387.83 | $1,942.96 |
Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.81 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $233.18 | $1,387.83 | $1,942.96 | |
Providence
| Facility | $233.18 | $1,387.83 | $1,942.96 |