| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.83 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $177.48 | $249.42 | $569.24 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |
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 | $180.83 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $177.48 | $249.42 | $569.24 | |
United
| Facility | $790.00 | $9,127.00 | $13,891.00 |