| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $992.50 | $992.50 | $8,500.00 | |
Medica
| Facility | $992.50 | $1,330.35 | $2,147.94 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,980.00 |
Revj Ileostomy Complic Rcnstj In-Depth Spx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $992.50 | $992.50 | $8,500.00 | |
Medica
| Facility | $992.50 | $1,330.35 | $2,147.94 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,980.00 |