| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.45 | $622.83 | $2,000.00 | |
Medica
| Facility | $312.45 | $622.83 | $1,103.13 | |
United
| Facility | $1,727.28 | $1,727.28 | $1,727.28 |
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 | $312.45 | $622.83 | $2,000.00 | |
Medica
| Facility | $312.45 | $622.83 | $1,103.13 | |
United
| Facility | $1,727.28 | $1,727.28 | $1,727.28 |