| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $309.03 | $8,511.38 | |
Medica
| Facility | $309.03 | $407.38 | $645.65 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |
Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $309.03 | $8,511.38 | |
Medica
| Facility | $309.03 | $407.38 | $645.65 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |