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Kansas 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
$487.00 / $3,500.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $122.05 / $183.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.30 / $99.30 / $99.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.25 / $1,005.00 / $1,005.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.82 / $151.00 / $257.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.96 / $183.33 / $1,685.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.73 / $148.12 / $1,634.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.80 / $141.94 / $203.38