| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $194.98 | $309.03 | |
United
| Professional | $181.97 | $338.84 | $645.65 |
Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $194.98 | $309.03 | |
United
| Professional | $181.97 | $338.84 | $645.65 |