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Michigan 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
$155.09 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.84 / $123.09 / $155.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.91 / $110.91 / $110.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.75 / $479.75 / $649.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $98.66 / $157.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.36 / $139.09 / $166.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.28 / $145.54 / $181.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.24 / $142.10 / $247.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.42 / $2,052.90 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.59 / $127.01 / $162.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.26 / $146.22 / $200.05