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Louisiana 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
$297.00 / $1,300.00 / $3,779.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.97 / $148.18 / $208.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.98 / $10,074.86 / $14,151.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.57 / $157.57 / $218.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.20 / $215.20 / $215.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.67 / $162.38 / $224.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.20 / $135.77 / $247.39