| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $457.97 | $457.97 | $457.97 | |
Providence
| Facility | $457.97 | $457.97 | $457.97 |
Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $457.97 | $457.97 | $457.97 | |
Providence
| Facility | $457.97 | $457.97 | $457.97 |