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Alaska rates for HCPCS 20930

Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $7,316.48 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $564.14 / $676.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.45 / $387.48 / $499.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.32 / $564.14 / $789.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.05 / $164.35 / $1,192.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.50 / $588.24 / $763.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.00 / $564.14 / $789.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.25 / $581.40 / $808.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.98 / $619.96 / $681.96