| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.63 | $16.92 | $23.46 | |
Aetna
| Professional | $14.06 | $17.77 | $22.82 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $17.05 | $24.68 | $44.42 |
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 | $15.63 | $16.92 | $23.46 | |
Aetna
| Professional | $14.06 | $17.77 | $22.82 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $17.05 | $24.68 | $44.42 |