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Tennessee 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
$224.91 / $1,821.00 / $8,145.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.31 / $113.85 / $186.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $148.00 / $2,367.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.32 / $165.23 / $266.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.92 / $1,300.00 / $2,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.59 / $1,634.59 / $1,634.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.92 / $136.80 / $247.27