| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,612.00 | $7,500.00 | |
Medica
| Facility | $175.60 | $321.22 | $1,883.00 | |
Medica
| Facility | AS | $99.16 | $99.16 | $99.16 |
United
| Facility | $100.00 | $610.00 | $1,883.00 |
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 | $760.00 | $3,612.00 | $7,500.00 | |
Medica
| Facility | $175.60 | $321.22 | $1,883.00 | |
Medica
| Facility | AS | $99.16 | $99.16 | $99.16 |
United
| Facility | $100.00 | $610.00 | $1,883.00 |