| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.02 | $162.02 | $8,500.00 | |
Medica
| Facility | $162.02 | $246.73 | $309.36 |
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 | $162.02 | $162.02 | $8,500.00 | |
Medica
| Facility | $162.02 | $246.73 | $309.36 |