| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.52 | $345.52 | $8,500.00 | |
Medica
| Facility | $345.52 | $474.53 | $1,012.32 | |
United
| Facility | $2,790.00 | $2,790.00 | $2,790.00 |
Omental flap, intra-abdominal (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.52 | $345.52 | $8,500.00 | |
Medica
| Facility | $345.52 | $474.53 | $1,012.32 | |
United
| Facility | $2,790.00 | $2,790.00 | $2,790.00 |