| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,265.80 | $4,265.80 | $4,265.80 | |
MountainHealth Co-op
| Facility | $4,570.88 | $4,677.35 | $5,011.87 | |
Providence
| Facility | $2,691.53 | $4,168.69 | $6,165.95 |
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 | $4,265.80 | $4,265.80 | $4,265.80 | |
MountainHealth Co-op
| Facility | $4,570.88 | $4,677.35 | $5,011.87 | |
Providence
| Facility | $2,691.53 | $4,168.69 | $6,165.95 |