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Montana 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)

Facilitymedian $316 · 10th–90th $240–$1,2020%20%10th90th$316$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $316.23 / $338.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $275.42 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93