| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.62 | $247.62 | $1,400.00 | |
CareSource
| Facility | $254.39 | $291.02 | $317.07 | |
Cigna
| Facility | $272.75 | $272.75 | $272.75 |
Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.62 | $247.62 | $1,400.00 | |
CareSource
| Facility | $254.39 | $291.02 | $317.07 | |
Cigna
| Facility | $272.75 | $272.75 | $272.75 |