| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $51.29 | $354.81 | $512.86 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $51.29 | $354.81 | $512.86 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |