| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.12 | $77.34 | $81.41 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $103.24 | $158.11 | $295.08 |
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; each additional level (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.12 | $77.34 | $81.41 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $103.24 | $158.11 | $295.08 |