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Utah rates for HCPCS 20930

Allograft For Spine Surgery Only Morselized

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.18 / $3,294.00 / $22,511.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.24 / $172.18 / $501.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.39 / $171.48 / $251.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.09 / $259.89 / $890.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.31 / $183.05 / $306.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.60 / $126.54 / $201.79