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Oklahoma 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
$667.80 / $3,576.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.90 / $122.05 / $123.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.30 / $99.30 / $99.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.00 / $659.00 / $659.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.50 / $154.41 / $196.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.05 / $168.52 / $2,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.92 / $135.77 / $375.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.74 / $127.13 / $182.80