| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $15,931.20 | $15,931.20 | $15,931.20 | |
United
| Facility | $8,509.00 | $8,509.00 | $27,952.00 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $15,931.20 | $15,931.20 | $15,931.20 | |
United
| Facility | $8,509.00 | $8,509.00 | $27,952.00 |