go back

Washington 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
$300.08 / $2,769.52 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,300.00 / $2,000.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$22.96 / $75.98 / $75.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $765.00 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.72 / $318.98 / $413.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.61 / $315.86 / $333.66
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.88 / $222.88 / $227.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00