| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $85.00 | $85.00 | $85.00 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |
Autograft suspension, including cell processing and application, and all system components
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $85.00 | $85.00 | $85.00 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |