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Idaho 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
$258.13 / $4,500.00 / $9,360.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.97 / $209.84 / $262.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00