| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $1,117.17 | $1,339.67 | $7,291.28 | |
Providence
| Facility | $1,339.67 | $1,339.67 | $7,291.28 |
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $1,117.17 | $1,339.67 | $7,291.28 | |
Providence
| Facility | $1,339.67 | $1,339.67 | $7,291.28 |