| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $114.82 | $8,511.38 | |
Medica
| Facility | $117.49 | $162.18 | $309.03 | |
United
| Facility | $676.08 | $1,096.48 | $3,388.44 |
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 | $102.33 | $114.82 | $8,511.38 | |
Medica
| Facility | $117.49 | $162.18 | $309.03 | |
United
| Facility | $676.08 | $1,096.48 | $3,388.44 |