| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,072.63 | $1,072.63 | $1,072.63 | |
Providence
| Facility | $529.13 | $727.55 | $1,072.63 |
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,072.63 | $1,072.63 | $1,072.63 | |
Providence
| Facility | $529.13 | $727.55 | $1,072.63 |