| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.13 | $376.13 | $8,500.00 | |
Medica
| Facility | $376.13 | $572.69 | $713.57 |
Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.13 | $376.13 | $8,500.00 | |
Medica
| Facility | $376.13 | $572.69 | $713.57 |