| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.90 | $3,276.00 | $11,481.00 | |
Cigna
| Facility | $323.00 | $323.00 | $323.00 | |
United
| Facility | $2,774.00 | $8,301.00 | $12,989.00 |
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 | $176.90 | $3,276.00 | $11,481.00 | |
Cigna
| Facility | $323.00 | $323.00 | $323.00 | |
United
| Facility | $2,774.00 | $8,301.00 | $12,989.00 |