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Texas rates for HCPCS 20936

Autograft Spine Surgery Local From Same Incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.25 / $2,124.00 / $8,002.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.75 / $124.09 / $195.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,719.49 / $5,820.83 / $18,989.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.29 / $359.16 / $359.16
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.36 / $1,598.40 / $10,382.78
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.10 / $128.61 / $350.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.51 / $151.51 / $151.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.24 / $140.24 / $140.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $167.64 / $263.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,300.00 / $2,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.59 / $1,634.59 / $1,634.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.91 / $149.53 / $266.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $183.71 / $5,306.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $555.00 / $555.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.34 / $150.00 / $266.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.07 / $169.05 / $264.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $5,210.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.09 / $136.16 / $215.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.10 / $162.10 / $218.84