Does Medicare cover iFuse?

SI-Bone’s iFuse Implant System is one state away from nationwide Medicare coverage. Medicare Administrative Contractor National Government Services has agreed to reimburse the spinal implant used to treat sacroiliac joint disruption and degenerative sacroiliitis via minimally invasive spinal fusion.

How much does iFuse surgery cost?

The economic evaluation of MIS SIJ fusion using the iFuse Implant System relative to non-surgical treatment is presented in Table 3. The average 5-year total cost per patient who underwent SIJ fusion was $22,468.

Are SI belts covered by insurance?

Medicare, most Medicaid, and some commercial health plans provide coverage for minimally invasive sacroiliac (SI) joint fusion procedures. Your plan may require a written authorization prior to surgery.

Is SI joint fusion FDA approved?

Posterior approach sacroiliac fusion is a new minimally invasive technique to address sacroiliitis. The LinQ posterior sacroiliac fusion system is an FDA approved device used for the transfixation of patients with sacroiliac dysfunction.

Is SI joint ablation covered by insurance?

There is no National Coverage Determination (NCD) that addresses sacroiliac joint injections or radiofrequency ablation. A local coverage determination is available for sacroiliac joint injections and outlines that the injections are covered for both diagnostic and therapeutic interventions for low back pain.

What is a iFuse implant?

The iFuse Implant System is a minimally invasive approach for sacroiliac (SI) joint fusion surgery to relieve sacroiliac joint pain and treat conditions, including sacroiliac joint disruptions and degenerative sacroiliitis.

Is SI joint fusion worth it?

In our cohort of patients undergoing MIS SI joint fusion, clinical outcomes were favorable with 98% of patients experiencing a clinically significant benefit at 12 months.

How much does a sacroiliac joint injection cost?

The average cost of spinal injections is around $600, with costs ranging from $100 to $1,000 per injection.

Does Cigna Cover SI joint fusion?

CIGNA announced a positive coverage policy for minimally invasive sacroiliac (SI) joint fusion exclusive for FDA-cleared implants that are placed across the SI joint to promote bone fusion, such as SI-BONE’s iFuse Implant System. CIGNA, the fourth-largest U.S. commercial health plan, covers nearly 15 million lives.

How much does sacroiliac joint fusion cost?

How Much Does a Sacroiliac Joint Fusion Cost? On MDsave, the cost of a Sacroiliac Joint Fusion ranges from $26,099 to $26,578. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave.

What is the success rate of SI joint fusion?

In our cohort of patients undergoing MIS SI joint fusion, clinical outcomes were favorable with 98% of patients experiencing a clinically significant benefit at 12 months. ]. Facet pain was present in 20% of our patients, but it is unclear whether these patients had symptoms prior to the surgery.

Is radiofrequency ablation covered by insurance?

Radiofrequency ablation is usually covered by insurance, and for those experiencing chronic neck or back pain, RFA can be a welcomed relief.