| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $83.18 | $125.89 | $446.68 | |
Providence
| Facility | $97.72 | $128.82 | $446.68 |
Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $83.18 | $125.89 | $446.68 | |
Providence
| Facility | $97.72 | $128.82 | $446.68 |