| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.57 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $313.39 | $406.22 | $516.99 | |
United
| Facility | $3,085.00 | $5,089.00 | $17,636.00 |
Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.57 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $313.39 | $406.22 | $516.99 | |
United
| Facility | $3,085.00 | $5,089.00 | $17,636.00 |