| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,678.00 | $2,250.00 | |
BCBS
| Facility | $19,425.41 | $23,573.65 | $31,714.10 | |
United
| Facility | $1,500.00 | $6,323.00 | $12,422.00 |
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 | $960.00 | $1,678.00 | $2,250.00 | |
BCBS
| Facility | $19,425.41 | $23,573.65 | $31,714.10 | |
United
| Facility | $1,500.00 | $6,323.00 | $12,422.00 |