| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $519.49 | $519.49 | $519.49 | |
Providence
| Facility | $257.02 | $353.42 | $519.49 |
Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $519.49 | $519.49 | $519.49 | |
Providence
| Facility | $257.02 | $353.42 | $519.49 |