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Massachusetts rates for HCPCS 20930

Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)

Facilitymedian $2,188 · 10th–90th $813–$4,1690%5%10%10th90th$2,188Professionalmedian $148 · 10th–90th $107–$4470%10%10th90th$148$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $2,238.72 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $134.90 / $501.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,288.25 / $2,818.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $177.83 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $13,489.63 / $13,489.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $338.84
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $186.21
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $186.21
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $218.78 / $316.23
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,890.45 / $7,762.47
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $1,949.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,288.25 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $177.83 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $177.83 / $354.81