| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,754.65 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,293.02 | $6,864.22 | $9,609.91 | |
Providence
| Facility | $1,293.02 | $6,864.22 | $9,609.91 |
Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,754.65 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,293.02 | $6,864.22 | $9,609.91 | |
Providence
| Facility | $1,293.02 | $6,864.22 | $9,609.91 |