| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $40.00 | $50.00 | $70.00 | |
Wellpoint
| Professional | $26.67 | $26.67 | $26.67 |
Autograft suspension, including cell processing and application, and all system components
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $40.00 | $50.00 | $70.00 | |
Wellpoint
| Professional | $26.67 | $26.67 | $26.67 |