| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,438.26 | $3,706.14 | $4,026.21 | |
United
| Facility | $4,505.00 | $7,819.00 | $19,195.00 |
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 | $3,438.26 | $3,706.14 | $4,026.21 | |
United
| Facility | $4,505.00 | $7,819.00 | $19,195.00 |