| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,824.95 | $13,824.95 | $13,824.95 | |
Martin's Point
| Facility | $13,824.95 | $13,824.95 | $13,824.95 |
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 | $13,824.95 | $13,824.95 | $13,824.95 | |
Martin's Point
| Facility | $13,824.95 | $13,824.95 | $13,824.95 |