| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $716.66 | $3,663.18 | $5,128.45 | |
Providence
| Facility | $716.66 | $3,663.18 | $5,128.45 |
Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $716.66 | $3,663.18 | $5,128.45 | |
Providence
| Facility | $716.66 | $3,663.18 | $5,128.45 |