| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $162.18 | $8,511.38 | |
Medica
| Facility | $162.18 | $223.87 | $363.08 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |
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 | $154.88 | $162.18 | $8,511.38 | |
Medica
| Facility | $162.18 | $223.87 | $363.08 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |