| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,454.71 | $6,606.93 | |
Medica
| Facility | $114.82 | $173.78 | $3,090.30 | |
United
| Facility | $575.44 | $1,995.26 | $3,801.89 |
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 | $758.58 | $2,454.71 | $6,606.93 | |
Medica
| Facility | $114.82 | $173.78 | $3,090.30 | |
United
| Facility | $575.44 | $1,995.26 | $3,801.89 |