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Kentucky 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
$112.61 / $898.62 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $10,099.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.77 / $143.32 / $179.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.35 / $125.35 / $149.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,176.00