| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $181.97 | $181.97 | $181.97 | |
MountainHealth Co-op
| Facility | $199.53 | $199.53 | $223.87 | |
Providence
| Facility | $109.65 | $173.78 | $295.12 |
Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $181.97 | $181.97 | $181.97 | |
MountainHealth Co-op
| Facility | $199.53 | $199.53 | $223.87 | |
Providence
| Facility | $109.65 | $173.78 | $295.12 |