| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $1,047.13 | $1,995.26 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
United
| Facility | $575.44 | $1,380.38 | $3,090.30 |
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 | $416.87 | $1,047.13 | $1,995.26 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
United
| Facility | $575.44 | $1,380.38 | $3,090.30 |