| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,720.10 | $4,720.10 | $4,720.10 | |
Providence
| Facility | $2,333.29 | $3,208.27 | $4,720.10 |
Free osteocutaneous flap with microvascular anastomosis; great toe with web space
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,720.10 | $4,720.10 | $4,720.10 | |
Providence
| Facility | $2,333.29 | $3,208.27 | $4,720.10 |