| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.36 | $176.36 | $8,500.00 | |
Medica
| Facility | $176.36 | $271.64 | $335.94 |
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 | $176.36 | $176.36 | $8,500.00 | |
Medica
| Facility | $176.36 | $271.64 | $335.94 |