| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $288.40 | $354.81 | $501.19 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis]), during posterior interbody arthrodesis, lumbar; each additional vertebral segment (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $3,162.28 | $4,570.88 | |
U of Utah Health Plan
| Professional | $288.40 | $354.81 | $501.19 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |