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Wisconsin rates for HCPCS 20936

Autograft Spine Surgery Local From Same Incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.64 / $1,894.00 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.84 / $158.88 / $539.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,749.00 / $5,749.00 / $6,159.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.81 / $276.08 / $738.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.53 / $141.04 / $177.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.57 / $117.15 / $159.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.69 / $365.40 / $560.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.03 / $496.79 / $605.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.64 / $178.59 / $324.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.57 / $262.08 / $11,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $245.24 / $1,634.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.64 / $178.59 / $324.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.29 / $298.58 / $428.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.90 / $598.60 / $1,634.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.21 / $604.10 / $604.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,882.00 / $12,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.86 / $245.24 / $544.73