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California rates for HCPCS 20937

Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.11 / $5,322.00 / $17,380.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,418.00 / $9,274.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $5,455.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.56 / $175.34 / $236.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.41 / $206.44 / $426.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.49 / $1,300.00 / $2,000.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$32.42 / $75.98 / $79.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.44 / $211.82 / $326.72
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$63.21 / $63.21 / $63.21
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$18.57 / $18.57 / $53.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.00 / $9,758.00 / $21,278.00