| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Pacific Source
| Facility | $12,022.64 | $12,022.64 | $13,803.84 |
Destruction of intraosseous basivertebral nerve, first two vertebral bodies, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Pacific Source
| Facility | $12,022.64 | $12,022.64 | $13,803.84 |