| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $505.82 | $505.82 | $505.82 | |
Providence
| Facility | $249.73 | $343.38 | $505.82 |
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $505.82 | $505.82 | $505.82 | |
Providence
| Facility | $249.73 | $343.38 | $505.82 |