| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $6,606.93 | $16,595.87 | |
Moda Health
| Facility | $194.98 | $1,023.29 | $1,445.44 | |
Providence
| Facility | $194.98 | $263.03 | $1,445.44 |
Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $6,606.93 | $16,595.87 | |
Moda Health
| Facility | $194.98 | $1,023.29 | $1,445.44 | |
Providence
| Facility | $194.98 | $263.03 | $1,445.44 |