| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.56 | $146.56 | $1,400.00 | |
CareSource
| Facility | $149.52 | $171.49 | $186.84 | |
Cigna
| Facility | $160.57 | $160.57 | $160.57 | |
Cigna
| Facility | AS | $15.62 | $15.62 | $15.62 |
Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.56 | $146.56 | $1,400.00 | |
CareSource
| Facility | $149.52 | $171.49 | $186.84 | |
Cigna
| Facility | $160.57 | $160.57 | $160.57 | |
Cigna
| Facility | AS | $15.62 | $15.62 | $15.62 |