| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $568.73 | $2,421.02 | $3,462.06 | |
Providence
| Facility | $568.73 | $2,421.02 | $3,462.06 |
Lymphangiotomy or other operations on lymphatic channels
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,872.00 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $568.73 | $2,421.02 | $3,462.06 | |
Providence
| Facility | $568.73 | $2,421.02 | $3,462.06 |