| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,185.75 | $1,185.75 | $8,500.00 | |
Medica
| Facility | $1,185.75 | $1,543.06 | $3,557.25 |
Removal of transplanted renal allograft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,185.75 | $1,185.75 | $8,500.00 | |
Medica
| Facility | $1,185.75 | $1,543.06 | $3,557.25 |