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Iowa rates for HCPCS 20931

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

Facilitymedian $2,239 · 10th–90th $166–$6,4570%10%10th90th$2,239Professionalmedian $219 · 10th–90th $107–$5500%10%20%10th90th$219$1.0$5.0$20.0$100.0$500.0$2.0K$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
$165.96 / $2,290.87 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $154.88 / $575.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $257.04 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $257.04 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,621.81 / $2,951.21