| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.00 | $935.00 | $1,831.00 | |
BCBS
| Facility | $533.41 | $533.41 | $533.41 | |
Cigna
| Facility | $441.66 | $494.44 | $2,556.29 | |
United
| Facility | $455.00 | $950.00 | $2,011.00 |
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 | $415.00 | $935.00 | $1,831.00 | |
BCBS
| Facility | $533.41 | $533.41 | $533.41 | |
Cigna
| Facility | $441.66 | $494.44 | $2,556.29 | |
United
| Facility | $455.00 | $950.00 | $2,011.00 |