| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $1,267.72 | $1,808.91 | $4,962.60 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |
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 | $1,300.00 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $1,267.72 | $1,808.91 | $4,962.60 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |