| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $733.56 | $733.56 | $8,500.00 | |
Medica
| Facility | $733.56 | $1,018.80 | $1,247.05 |
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 | $733.56 | $733.56 | $8,500.00 | |
Medica
| Facility | $733.56 | $1,018.80 | $1,247.05 |