go back

West Virginia 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)

Facilitymedian $158 · 10th–90th $123–$1,4130%20%10th90th$158Professionalmedian $129 · 10th–90th $112–$3550%20%40%10th90th$129$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $123.03 / $354.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $151.36 / $213.80
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $239.88 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $186.21 / $1,230.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,265.80 / $8,128.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $138.04 / $204.17