| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.50 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $362.87 | $711.32 | $838.83 | |
United
| Facility | $1,106.00 | $1,106.00 | $1,106.00 |
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 | $864.50 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $362.87 | $711.32 | $838.83 | |
United
| Facility | $1,106.00 | $1,106.00 | $1,106.00 |