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California 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
$884.70 / $5,545.00 / $18,293.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,418.00 / $9,274.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $5,455.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.77 / $114.56 / $154.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.94 / $136.51 / $263.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.52 / $3,000.00 / $4,777.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.37 / $138.72 / $210.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $1,551.00 / $6,323.00