| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,317.65 | $1,317.65 | $1,317.65 | |
Providence
| Facility | $1,317.65 | $1,558.70 | $1,623.63 |
Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,317.65 | $1,317.65 | $1,317.65 | |
Providence
| Facility | $1,317.65 | $1,558.70 | $1,623.63 |