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Wyoming 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
$3,419.20 / $3,419.20 / $3,419.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.42 / $125.66 / $159.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.00 / $286.00 / $432.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.02 / $249.84 / $343.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.46 / $253.54 / $445.89