| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $1,103.38 | $1,634.50 | $5,000.00 | |
Lucent Health
| Professional | $4,127.76 | $4,127.76 | $4,127.76 |
Application Intervertebral Biomechanical Device
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $1,103.38 | $1,634.50 | $5,000.00 | |
Lucent Health
| Professional | $4,127.76 | $4,127.76 | $4,127.76 |