| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.37 | $29.83 | $89.82 | |
Aetna
| Professional | $17.77 | $21.31 | $23.22 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
United
| Professional | $17.96 | $23.30 | $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 | $20.37 | $29.83 | $89.82 | |
Aetna
| Professional | $17.77 | $21.31 | $23.22 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
United
| Professional | $17.96 | $23.30 | $38.72 |