| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.19 | $376.40 | $376.40 | |
United
| Professional | $245.73 | $349.59 | $726.19 |
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 | $142.19 | $376.40 | $376.40 | |
United
| Professional | $245.73 | $349.59 | $726.19 |