| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Moda Health
| Facility | $594.25 | $3,152.08 | $4,412.91 | |
Providence
| Facility | $594.25 | $3,152.08 | $4,412.91 |
Revision of ileostomy; simple (release of superficial scar) (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Moda Health
| Facility | $594.25 | $3,152.08 | $4,412.91 | |
Providence
| Facility | $594.25 | $3,152.08 | $4,412.91 |