| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.28 | $116.28 | $8,500.00 | |
Medica
| Facility | $116.28 | $158.18 | $306.58 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
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 | $116.28 | $116.28 | $8,500.00 | |
Medica
| Facility | $116.28 | $158.18 | $306.58 | |
United
| Facility | $681.00 | $681.00 | $681.00 |