| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.81 | $949.95 | $2,812.00 | |
BCBS
| Facility | $866.69 | $866.69 | $1,040.03 | |
Cigna
| Facility | $726.58 | $726.58 | $726.58 | |
United
| Facility | $330.00 | $917.00 | $2,555.98 |
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 | $467.81 | $949.95 | $2,812.00 | |
BCBS
| Facility | $866.69 | $866.69 | $1,040.03 | |
Cigna
| Facility | $726.58 | $726.58 | $726.58 | |
United
| Facility | $330.00 | $917.00 | $2,555.98 |