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Virginia 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
$290.66 / $5,743.00 / $22,463.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.31 / $189.31 / $640.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$18.57 / $18.57 / $18.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $199.01 / $234.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.98 / $225.68 / $347.72
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$42.50 / $58.63 / $87.12
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$29.75 / $41.04 / $60.98
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.25 / $221.75 / $1,291.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00