| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.76 | $15.76 | $15.76 | |
Aetna
| Professional | $15.76 | $16.07 | $21.41 | |
United
| Professional | $17.05 | $20.88 | $30.44 |
Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.76 | $15.76 | $15.76 | |
Aetna
| Professional | $15.76 | $16.07 | $21.41 | |
United
| Professional | $17.05 | $20.88 | $30.44 |