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Michigan 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
$165.28 / $1,886.92 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.13 / $129.94 / $165.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.08 / $118.08 / $118.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.16 / $561.22 / $760.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.43 / $128.53 / $212.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.53 / $148.10 / $177.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.26 / $154.97 / $193.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.93 / $150.29 / $263.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.47 / $1,886.92 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.47 / $144.61 / $206.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $6,873.00 / $8,911.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.46 / $155.51 / $210.33