| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $188.77 | $205.93 | $240.25 | |
United
| Facility | $2,155.00 | $2,155.00 | $2,155.00 |
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 | $988.00 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $188.77 | $205.93 | $240.25 | |
United
| Facility | $2,155.00 | $2,155.00 | $2,155.00 |