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Arizona 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
$354.60 / $1,475.00 / $18,651.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.84 / $116.82 / $501.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.40 / $3,300.84 / $5,432.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.04 / $129.19 / $161.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.21 / $143.41 / $236.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.00 / $157.94 / $1,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.35 / $129.96 / $1,634.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $123.12 / $229.78