| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.47 | $289.45 | $1,700.00 | |
CareSource
| Facility | $197.27 | $224.16 | $244.23 | |
Cigna
| Facility | $211.25 | $211.25 | $211.25 | |
Cigna
| Facility | AS | $20.54 | $20.54 | $20.54 |
Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.47 | $289.45 | $1,700.00 | |
CareSource
| Facility | $197.27 | $224.16 | $244.23 | |
Cigna
| Facility | $211.25 | $211.25 | $211.25 | |
Cigna
| Facility | AS | $20.54 | $20.54 | $20.54 |