| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.23 | $2,691.48 | $7,045.00 | |
Moda Health
| Facility | $158.60 | $320.77 | $409.97 | |
United
| Facility | $1,500.00 | $9,360.00 | $17,870.00 |
Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.23 | $2,691.48 | $7,045.00 | |
Moda Health
| Facility | $158.60 | $320.77 | $409.97 | |
United
| Facility | $1,500.00 | $9,360.00 | $17,870.00 |