| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.13 | $1,064.00 | $2,812.00 | |
Cigna
| Facility | $490.00 | $515.00 | $1,544.97 | |
United
| Facility | $505.00 | $1,106.00 | $2,539.00 |
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 | $143.13 | $1,064.00 | $2,812.00 | |
Cigna
| Facility | $490.00 | $515.00 | $1,544.97 | |
United
| Facility | $505.00 | $1,106.00 | $2,539.00 |