| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $537.03 | $537.03 | $537.03 | |
MountainHealth Co-op
| Facility | $588.84 | $602.56 | $660.69 | |
Providence
| Facility | $416.87 | $562.34 | $676.08 |
Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $537.03 | $537.03 | $537.03 | |
MountainHealth Co-op
| Facility | $588.84 | $602.56 | $660.69 | |
Providence
| Facility | $416.87 | $562.34 | $676.08 |