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Nebraska 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
$137.04 / $3,795.64 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.42 / $111.90 / $471.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.89 / $169.78 / $229.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $258.66 / $350.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.42 / $183.33 / $1,300.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.78 / $236.13 / $323.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.97 / $257.64 / $360.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.00 / $238.96 / $350.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.78 / $249.50 / $307.52