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Missouri 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
$176.93 / $3,232.00 / $11,877.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.63 / $122.34 / $554.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $6,000.00 / $13,384.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.22 / $146.10 / $234.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,231.00 / $16,231.00 / $16,231.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.67 / $159.10 / $257.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.05 / $175.98 / $2,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $162.16 / $1,634.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $1,218.00 / $9,475.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.78 / $148.12 / $251.23