| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $4,192.00 | $13,200.00 | |
Medica
| Facility | $966.19 | $1,409.10 | $5,882.00 | |
United
| Facility | $1,243.96 | $4,706.00 | $8,116.00 |
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $4,192.00 | $13,200.00 | |
Medica
| Facility | $966.19 | $1,409.10 | $5,882.00 | |
United
| Facility | $1,243.96 | $4,706.00 | $8,116.00 |