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Massachusetts 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
$371.54 / $2,238.72 / $3,801.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,995.26 / $6,606.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$102.33 / $102.33 / $102.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $380.19 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $1,995.26 / $6,606.93
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$102.33 / $102.33 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,248.07 / $9,332.54