| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.31 | $93.84 | $1,200.00 | |
CareSource
| Facility | $88.93 | $100.30 | $109.28 | |
Cigna
| Facility | $96.07 | $96.07 | $96.07 |
Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.31 | $93.84 | $1,200.00 | |
CareSource
| Facility | $88.93 | $100.30 | $109.28 | |
Cigna
| Facility | $96.07 | $96.07 | $96.07 |