| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $321.58 | $4,370.00 | $12,384.00 | |
United
| Facility | $5,045.00 | $9,969.00 | $19,690.00 |
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 | $321.58 | $4,370.00 | $12,384.00 | |
United
| Facility | $5,045.00 | $9,969.00 | $19,690.00 |