| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $426.70 | $2,331.21 | |
United
| Facility | $930.00 | $3,884.00 | $8,611.00 |
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 | $100.00 | $426.70 | $2,331.21 | |
United
| Facility | $930.00 | $3,884.00 | $8,611.00 |