| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $310.75 | $310.75 | $310.75 | |
Providence
| Facility | $310.75 | $389.35 | $402.27 |
Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $310.75 | $310.75 | $310.75 | |
Providence
| Facility | $310.75 | $389.35 | $402.27 |