| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.00 | $936.00 | $1,831.00 | |
United
| Facility | $860.00 | $3,066.00 | $8,411.00 |
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 | $352.00 | $936.00 | $1,831.00 | |
United
| Facility | $860.00 | $3,066.00 | $8,411.00 |