| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $476.37 | $476.37 | $8,500.00 | |
Medica
| Facility | $476.37 | $596.00 | $809.83 |
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 | $476.37 | $476.37 | $8,500.00 | |
Medica
| Facility | $476.37 | $596.00 | $809.83 |