| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $384.91 | $4,134.00 | $9,842.00 | |
Horizon BCBS
| Facility | $2,084.63 | $2,164.46 | $4,693.64 | |
United
| Facility | $2,354.00 | $3,885.00 | $9,152.00 |
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 | $384.91 | $4,134.00 | $9,842.00 | |
Horizon BCBS
| Facility | $2,084.63 | $2,164.46 | $4,693.64 | |
United
| Facility | $2,354.00 | $3,885.00 | $9,152.00 |