| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.99 | $4,370.00 | $10,202.00 | |
United
| Facility | $1,401.00 | $3,336.00 | $10,536.00 |
Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.99 | $4,370.00 | $10,202.00 | |
United
| Facility | $1,401.00 | $3,336.00 | $10,536.00 |