go back

Missouri 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
$188.56 / $2,507.00 / $8,485.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.12 / $129.94 / $587.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $5,617.00 / $12,691.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.00 / $160.88 / $263.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,231.00 / $16,231.00 / $16,231.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.54 / $169.56 / $277.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.44 / $194.51 / $3,359.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.26 / $172.04 / $1,634.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,120.00 / $4,449.00 / $9,475.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.58 / $164.21 / $285.82