go back

Oregon rates for HCPCS 20936

Autograft Spine Surgery Local From Same Incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $4,684.68 / $8,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.85 / $168.65 / $526.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.71 / $240.50 / $366.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.34 / $269.43 / $323.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.31 / $235.32 / $305.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.76 / $258.76 / $258.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $242.17 / $250.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.31 / $220.87 / $305.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.85 / $261.45 / $377.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.41 / $291.91 / $392.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $25,015.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.36 / $254.81 / $396.84