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Maryland rates for HCPCS 20936

Autograft Spine Surgery Local From Same Incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $57.46 / $2,920.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.13 / $129.96 / $471.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $131.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.01 / $166.17 / $330.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.63 / $168.96 / $261.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.26 / $588.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.53 / $142.22 / $242.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $94.00 / $94.00