| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.29 | $1,064.00 | $2,812.00 | |
United
| Facility | $1,240.00 | $2,311.00 | $5,626.00 |
Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (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 | $221.29 | $1,064.00 | $2,812.00 | |
United
| Facility | $1,240.00 | $2,311.00 | $5,626.00 |