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New York 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
$645.00 / $4,043.00 / $9,842.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.40 / $130.66 / $471.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.64 / $134.91 / $296.47
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.79 / $168.79 / $13,477.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.79 / $168.79 / $168.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.24 / $44,560.00 / $53,687.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.44 / $190.68 / $494.73
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.00 / $332.00 / $13,558.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.43 / $566.12 / $995.60
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.98 / $115.98 / $115.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.57 / $165.01 / $260.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.07 / $1,832.16 / $2,553.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.00 / $280.00 / $400.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.24 / $597.00 / $53,687.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.76 / $245.00 / $497.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.00 / $4,893.00 / $10,315.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.66 / $164.24 / $406.65
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.25 / $208.25 / $759.23
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.70 / $177.01 / $318.49