| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,220.91 | $1,220.91 | $1,220.91 | |
Providence
| Facility | $604.89 | $756.11 | $1,220.91 |
Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,220.91 | $1,220.91 | $1,220.91 | |
Providence
| Facility | $604.89 | $756.11 | $1,220.91 |