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Indiana 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
$107.76 / $3,500.00 / $9,074.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.31 / $111.90 / $183.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $140.00 / $338.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $149.28 / $193.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.72 / $125.66 / $146.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.72 / $125.66 / $150.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.59 / $140.74 / $223.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.84 / $129.60 / $241.74