| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $176,147.02 | $176,147.02 | $176,147.02 | |
HMSA
| Facility | $73,310.00 | $81,799.00 | $95,253.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody Fusion Device
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $176,147.02 | $176,147.02 | $176,147.02 | |
HMSA
| Facility | $73,310.00 | $81,799.00 | $95,253.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |