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Arizona rates for HCPCS 20931

Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $1,367.00 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.40 / $3,300.84 / $5,432.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.14 / $145.69 / $1,919.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00