| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.85 | $232.00 | $1,400.00 | |
CareSource
| Facility | $159.05 | $179.66 | $195.75 | |
Cigna
| Facility | $169.76 | $169.76 | $169.76 |
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 | $151.85 | $232.00 | $1,400.00 | |
CareSource
| Facility | $159.05 | $179.66 | $195.75 | |
Cigna
| Facility | $169.76 | $169.76 | $169.76 |