| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.02 | $256.02 | $8,500.00 | |
Medica
| Facility | $256.02 | $354.12 | $681.00 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
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 | $256.02 | $256.02 | $8,500.00 | |
Medica
| Facility | $256.02 | $354.12 | $681.00 | |
United
| Facility | $681.00 | $681.00 | $681.00 |