| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.55 | $513.66 | $1,400.00 | |
CareSource
| Facility | $341.81 | $397.80 | $433.40 | |
Cigna
| Facility | $365.38 | $365.38 | $365.38 | |
Cigna
| Facility | AS | $35.86 | $35.86 | $35.86 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $303.55 | $513.66 | $1,400.00 | |
CareSource
| Facility | $341.81 | $397.80 | $433.40 | |
Cigna
| Facility | $365.38 | $365.38 | $365.38 | |
Cigna
| Facility | AS | $35.86 | $35.86 | $35.86 |