| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.71 | $466.71 | $6,907.00 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 |
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 | $466.71 | $466.71 | $6,907.00 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 |