| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.00 | $954.05 | $2,250.00 | |
BCBS
| Facility | $1,138.81 | $1,382.00 | $1,859.23 | |
United
| Facility | $375.00 | $1,213.00 | $2,481.00 |
Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 2 or more days
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.00 | $954.05 | $2,250.00 | |
BCBS
| Facility | $1,138.81 | $1,382.00 | $1,859.23 | |
United
| Facility | $375.00 | $1,213.00 | $2,481.00 |