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Michigan 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
$143.35 / $634.42 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,374.68 / $50,909.13 / $68,973.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $2,056.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00