| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,495.00 | $3,569.00 | $10,439.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $123.44 | $201.22 | $809.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |
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 | $1,495.00 | $3,569.00 | $10,439.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $123.44 | $201.22 | $809.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |