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Indiana 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
$98.46 / $4,846.00 / $11,153.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.00 / $166.00 / $320.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.40 / $124.02 / $143.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00