| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Moda Health
| Facility | $141.04 | $729.63 | $1,021.48 | |
Providence
| Facility | $141.04 | $729.63 | $1,021.48 |
Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,782.00 | $13,413.92 | |
Moda Health
| Facility | $141.04 | $729.63 | $1,021.48 | |
Providence
| Facility | $141.04 | $729.63 | $1,021.48 |