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Arizona 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
$290.50 / $1,367.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.57 / $124.20 / $530.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.40 / $3,300.84 / $5,432.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.88 / $195.29 / $244.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.03 / $151.94 / $251.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.91 / $166.45 / $5,740.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.23 / $138.32 / $1,634.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,336.00 / $4,571.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.10 / $131.04 / $244.88