| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $186.21 | $239.88 | $331.13 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
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 | $213.80 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $186.21 | $239.88 | $331.13 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |