| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.62 | $12.62 | $12.62 | |
Aetna
| Professional | $12.62 | $12.62 | $23.22 | |
United
| Professional | $20.30 | $25.06 | $38.72 |
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 | $12.62 | $12.62 | $12.62 | |
Aetna
| Professional | $12.62 | $12.62 | $23.22 | |
United
| Professional | $20.30 | $25.06 | $38.72 |