| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $3,388.44 | $4,570.88 | |
U of Utah Health Plan
| Professional | $245.47 | $288.40 | $426.58 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
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 | $1,698.24 | $3,388.44 | $4,570.88 | |
U of Utah Health Plan
| Professional | $245.47 | $288.40 | $426.58 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |