| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $1,029.95 | $1,165.98 | $1,360.31 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |
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 | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $1,029.95 | $1,165.98 | $1,360.31 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |