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Minnesota 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
$169.23 / $169.23 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $139.66 / $14,161.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.45 / $578.11 / $1,390.71
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$20.47 / $20.47 / $20.47
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.41 / $528.53 / $1,095.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.13 / $291.45 / $601.77
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$43.74 / $43.74 / $43.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,121.00 / $5,499.00 / $9,810.00