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Massachusetts 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
$659.00 / $2,067.00 / $4,088.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.38 / $947.00 / $3,000.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.57 / $227.96 / $8,090.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,220.04 / $6,220.04 / $6,220.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,856.00 / $4,142.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00