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Louisiana 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
$297.00 / $1,300.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.40 / $157.66 / $221.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.98 / $10,074.86 / $14,151.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.83 / $156.63 / $230.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.51 / $151.51 / $151.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.07 / $172.95 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $3,602.00 / $11,347.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.74 / $137.94 / $263.20