| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $819.77 | $1,821.00 | $3,109.00 | |
BCBS
| Facility | $22,270.62 | $22,270.62 | $26,724.74 | |
United
| Facility | $2,896.00 | $5,455.00 | $12,000.00 |
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 | $819.77 | $1,821.00 | $3,109.00 | |
BCBS
| Facility | $22,270.62 | $22,270.62 | $26,724.74 | |
United
| Facility | $2,896.00 | $5,455.00 | $12,000.00 |