| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $664.60 | $8,965.00 | |
Cigna
| Facility | $208.57 | $208.57 | $208.57 | |
Cigna
| Facility | AS | $20.47 | $20.47 | $20.47 |
United
| Facility | $9,949.00 | $9,949.00 | $9,949.00 |
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 | $100.00 | $664.60 | $8,965.00 | |
Cigna
| Facility | $208.57 | $208.57 | $208.57 | |
Cigna
| Facility | AS | $20.47 | $20.47 | $20.47 |
United
| Facility | $9,949.00 | $9,949.00 | $9,949.00 |