| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,747.00 | $6,084.00 | |
Kaiser Permanente
| Professional | $882.99 | $963.26 | $1,123.81 | |
United
| Facility | $3,340.00 | $3,340.00 | $3,340.00 |
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 | $2,528.00 | $2,747.00 | $6,084.00 | |
Kaiser Permanente
| Professional | $882.99 | $963.26 | $1,123.81 | |
United
| Facility | $3,340.00 | $3,340.00 | $3,340.00 |