| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,081.39 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,401.84 | $7,461.57 | $10,446.20 | |
Providence
| Facility | $1,401.84 | $7,461.57 | $10,446.20 |
Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,081.39 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,401.84 | $7,461.57 | $10,446.20 | |
Providence
| Facility | $1,401.84 | $7,461.57 | $10,446.20 |