| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $177.83 | $229.09 | $316.23 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
Manual preparation and insertion of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $177.83 | $229.09 | $316.23 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |