| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,058.69 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,048.83 | $5,591.86 | $7,828.60 | |
Providence
| Facility | $1,048.83 | $5,591.86 | $7,828.60 |
Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,058.69 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,048.83 | $5,591.86 | $7,828.60 | |
Providence
| Facility | $1,048.83 | $5,591.86 | $7,828.60 |