| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $208.21 | |
Martin's Point
| Facility | $0.90 | $0.90 | $0.90 |
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 | $0.90 | $0.90 | $208.21 | |
Martin's Point
| Facility | $0.90 | $0.90 | $0.90 |