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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.37 / $122.37 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.14 / $129.96 / $222.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.48 / $142.18 / $177.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.48 / $177.72 / $274.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.24 / $140.24 / $140.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.23 / $177.72 / $365.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,623.56 / $4,623.56 / $8,211.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.00 / $2,910.00 / $2,910.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.30 / $139.49 / $202.70