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Pennsylvania 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
$240.21 / $2,240.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.31 / $189.31 / $189.31
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$18.57 / $18.57 / $18.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,283.88 / $6,283.88 / $6,283.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $2,266.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.31 / $189.31 / $189.31
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$18.57 / $18.57 / $18.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.76 / $162.76 / $188.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00