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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
$478.63 / $2,691.53 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$28.18 / $28.18 / $28.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,089.30 / $8,128.31
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $331.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $162.18 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,388.44 / $6,309.57