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Nebraska 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
$186.21 / $3,801.89 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $10,232.93 / $19,952.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $263.03 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$40.74 / $75.86 / $75.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,606.93 / $9,120.11