go back

Ohio 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
$204.08 / $2,989.00 / $9,516.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.83 / $129.35 / $386.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $2,059.00 / $2,412.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.50 / $244.27 / $384.19
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.50 / $840.60 / $1,281.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.53 / $141.04 / $176.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.53 / $152.79 / $193.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.97 / $170.42 / $253.45
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.24 / $3,421.36 / $5,728.77
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.41 / $177.45 / $253.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.00 / $5,920.00 / $9,245.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.30 / $153.29 / $251.51