| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,216.76 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $2,102.92 | $11,365.43 | $15,911.60 | |
Providence
| Facility | $2,102.92 | $11,365.43 | $15,911.60 |
Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,216.76 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $2,102.92 | $11,365.43 | $15,911.60 | |
Providence
| Facility | $2,102.92 | $11,365.43 | $15,911.60 |