| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $6,606.93 | $16,595.87 | |
Moda Health
| Facility | $117.49 | $173.78 | $630.96 | |
Providence
| Facility | $117.49 | $181.97 | $478.63 |
Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $6,606.93 | $16,595.87 | |
Moda Health
| Facility | $117.49 | $173.78 | $630.96 | |
Providence
| Facility | $117.49 | $181.97 | $478.63 |