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Oklahoma 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
$882.00 / $3,576.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.14 / $130.15 / $130.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.00 / $771.00 / $771.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.74 / $164.60 / $207.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.15 / $203.94 / $5,975.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.66 / $144.51 / $579.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.00 / $5,068.00 / $8,392.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.10 / $138.03 / $194.56