| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,168.69 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,380.38 | $2,089.30 | $5,370.32 | |
Providence
| Facility | $1,412.54 | $2,187.76 | $5,370.32 |
Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,168.69 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,380.38 | $2,089.30 | $5,370.32 | |
Providence
| Facility | $1,412.54 | $2,187.76 | $5,370.32 |