| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,388.44 | $9,772.37 | $38,018.94 | |
Moda Health
| Facility | $1,698.24 | $3,630.78 | $12,302.69 | |
Providence
| Facility | $1,698.24 | $3,388.44 | $12,022.64 |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,388.44 | $9,772.37 | $38,018.94 | |
Moda Health
| Facility | $1,698.24 | $3,630.78 | $12,302.69 | |
Providence
| Facility | $1,698.24 | $3,388.44 | $12,022.64 |