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Arkansas rates for HCPCS 20936

Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.52 / $1,083.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.84 / $131.84 / $181.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.91 / $146.91 / $159.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.83 / $142.83 / $148.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.10 / $190.92 / $227.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,563.00 / $5,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.66 / $147.61 / $234.94