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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
$309.03 / $3,548.13 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $758.58 / $870.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $239.88 / $398.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $316.23 / $331.13
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $12,022.64