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New York 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
$237.88 / $3,621.00 / $7,941.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.44 / $256.44 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.57 / $44,560.00 / $53,687.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$20.47 / $20.47 / $20.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.50 / $301.20 / $13,558.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.91 / $166.91 / $166.91
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.57 / $597.00 / $53,687.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$20.47 / $20.47 / $20.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,248.00 / $11,200.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.80 / $301.80 / $910.24