| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,692.75 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,606.73 | $8,579.24 | $12,010.94 | |
Providence
| Facility | $1,606.73 | $8,579.24 | $12,010.94 |
Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,692.75 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,606.73 | $8,579.24 | $12,010.94 | |
Providence
| Facility | $1,606.73 | $8,579.24 | $12,010.94 |