| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,194.47 | $1,786.34 | $7,045.00 | |
Moda Health
| Facility | $718.31 | $1,451.77 | $1,801.36 | |
United
| Facility | $150.00 | $1,800.00 | $49,016.00 |
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 | $1,194.47 | $1,786.34 | $7,045.00 | |
Moda Health
| Facility | $718.31 | $1,451.77 | $1,801.36 | |
United
| Facility | $150.00 | $1,800.00 | $49,016.00 |