| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.54 | $4,073.80 | $7,079.46 | |
Kaiser Permanente
| Professional | $794.33 | $1,445.44 | $1,819.70 | |
United
| Facility | $9,120.11 | $25,703.96 | $87,096.36 |
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 | $1,412.54 | $4,073.80 | $7,079.46 | |
Kaiser Permanente
| Professional | $794.33 | $1,445.44 | $1,819.70 | |
United
| Facility | $9,120.11 | $25,703.96 | $87,096.36 |