| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $854.11 | $854.11 | $8,500.00 | |
BCBS
| Facility | $17,756.28 | $18,390.05 | $18,527.98 | |
Medica
| Facility | $854.11 | $1,127.69 | $1,451.99 |
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 | $854.11 | $854.11 | $8,500.00 | |
BCBS
| Facility | $17,756.28 | $18,390.05 | $18,527.98 | |
Medica
| Facility | $854.11 | $1,127.69 | $1,451.99 |