| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.60 | $22.60 | $22.60 | |
Cigna
| Facility | $21.94 | $21.94 | $21.94 | |
Cigna
| Professional | $91.97 | $91.97 | $91.97 | |
United
| Professional | $12.41 | $36.60 | $36.97 |
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
| Professional | $22.60 | $22.60 | $22.60 | |
Cigna
| Facility | $21.94 | $21.94 | $21.94 | |
Cigna
| Professional | $91.97 | $91.97 | $91.97 | |
United
| Professional | $12.41 | $36.60 | $36.97 |