| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $12,022.64 | $20,417.38 | |
Moda Health
| Facility | $489.78 | $4,365.16 | $29,512.09 | |
Providence
| Facility | $724.44 | $933.25 | $5,495.41 |
Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft when performed, unilateral; placement of transarticular device(s) and/or intra-articular device(s) piercing the lateral or medial cortices of the ilium and the lateral cortex of the sacrum
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $12,022.64 | $20,417.38 | |
Moda Health
| Facility | $489.78 | $4,365.16 | $29,512.09 | |
Providence
| Facility | $724.44 | $933.25 | $5,495.41 |