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New Hampshire 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
$100.00 / $141.25 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.90 / $125.68 / $152.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.07 / $197.06 / $278.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.69 / $131.69 / $131.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.91 / $220.35 / $344.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.09 / $206.23 / $404.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.19 / $181.22 / $356.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.00 / $3,125.00 / $4,735.00