| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $214.31 | $214.31 | $1,338.00 | |
Cigna
| Facility | AS | $20.84 | $20.84 | $20.84 |
Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $214.31 | $214.31 | $1,338.00 | |
Cigna
| Facility | AS | $20.84 | $20.84 | $20.84 |