| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.18 | $617.60 | $5,519.00 | |
Moda Health
| Facility | $188.39 | $269.39 | $430.16 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |
Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.18 | $617.60 | $5,519.00 | |
Moda Health
| Facility | $188.39 | $269.39 | $430.16 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |