| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $436.52 | $524.81 | $794.33 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |
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 | $478.63 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $436.52 | $524.81 | $794.33 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |