| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.38 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $45.38 | $70.64 | $96.21 | |
United
| Facility | $130.00 | $328.00 | $768.00 | |
United
| Professional | $68.56 | $99.52 | $155.47 |
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT 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
| Facility | $45.38 | $1,181.00 | $3,109.00 | |
Aetna
| Professional | $45.38 | $70.64 | $96.21 | |
United
| Facility | $130.00 | $328.00 | $768.00 | |
United
| Professional | $68.56 | $99.52 | $155.47 |