| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,931.86 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $990.25 | $5,360.03 | $7,504.04 | |
Providence
| Facility | $990.25 | $5,360.03 | $7,504.04 |
Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,931.86 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $990.25 | $5,360.03 | $7,504.04 | |
Providence
| Facility | $990.25 | $5,360.03 | $7,504.04 |