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Illinois 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
$120.23 / $1,584.89 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $3,019.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $891.25
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $851.14 / $2,630.27