| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,265.29 | $4,265.29 | $4,265.29 | |
Providence
| Facility | $2,100.75 | $2,888.53 | $4,265.29 |
Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,265.29 | $4,265.29 | $4,265.29 | |
Providence
| Facility | $2,100.75 | $2,888.53 | $4,265.29 |