| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.68 | $311.91 | $311.91 | |
United
| Professional | $219.06 | $416.72 | $647.36 |
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 | $121.68 | $311.91 | $311.91 | |
United
| Professional | $219.06 | $416.72 | $647.36 |