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Washington, DC 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
$295.14 / $1,556.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.90 / $121.96 / $121.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.60 / $168.00 / $596.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.23 / $179.08 / $325.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.15 / $262.67 / $262.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.15 / $156.97 / $323.27