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South Dakota rates for HCPCS 20930

Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)

Facilitymedian $2,291 · 10th–90th $115$17,7830%10%20%10th90th$2,291Professionalmedian $145 · 10th–90th $107$3090%20%10th90th$145$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $8,317.64 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $114.82 / $234.42
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $131.83 / $229.09
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $263.03 / $331.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $190.55 / $812.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $218.78 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $269.15 / $269.15
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $263.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $323.59
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $251.19 / $251.19