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; 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 | $628.09 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,370.13 | $2,781.84 | $3,768.95 | |
Health Alliance Plan
| Facility | $540.45 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,449.00 |