| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.13 | $204.13 | $8,500.00 | |
Medica
| Facility | $204.13 | $285.23 | $612.39 |
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 | $204.13 | $204.13 | $8,500.00 | |
Medica
| Facility | $204.13 | $285.23 | $612.39 |