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Louisiana 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
$297.00 / $1,300.00 / $3,779.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.98 / $10,074.86 / $14,151.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.76 / $103.37 / $103.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00