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Arizona rates for HCPCS 20938

Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (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
$1,162.00 / $2,640.00 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.30 / $3,321.60 / $5,432.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.91 / $239.68 / $5,580.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$43.74 / $43.74 / $83.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,217.00