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Rhode Island 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
$1,518.41 / $3,706.14 / $8,739.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.42 / $120.14 / $182.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $165.75 / $165.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.69 / $196.70 / $244.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.77 / $171.81 / $261.42