go back

Pennsylvania 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 $3,090 · 10th–90th $832–$8,3180%5%10th90th$3,090$200.0$1.0K$5.0K$20.0K

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
$831.76 / $3,311.31 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,995.26 / $7,244.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $204.17 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,311.31 / $6,309.57