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Maine 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
$308.12 / $933.75 / $1,066.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.84 / $119.47 / $149.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.07 / $153.24 / $211.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.51 / $177.95 / $251.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.91 / $168.83 / $258.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.12 / $933.75 / $1,066.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.84 / $119.47 / $149.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.36 / $160.43 / $230.74