| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.68 | $188.13 | $1,400.00 | |
CareSource
| Facility | $126.28 | $145.69 | $158.72 | |
Cigna
| Facility | $134.12 | $134.12 | $134.12 |
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 | $123.68 | $188.13 | $1,400.00 | |
CareSource
| Facility | $126.28 | $145.69 | $158.72 | |
Cigna
| Facility | $134.12 | $134.12 | $134.12 |