| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.36 | $380.19 | $977.24 | |
United
| Professional | $204.17 | $346.74 | $676.08 |
Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.36 | $380.19 | $977.24 | |
United
| Professional | $204.17 | $346.74 | $676.08 |