| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,058.59 | $1,728.87 | $3,079.15 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
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 | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,058.59 | $1,728.87 | $3,079.15 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |