| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $724.44 | $977.24 | $1,412.54 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); each additional vertebral segment (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $724.44 | $977.24 | $1,412.54 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |