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Minnesota 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
$100.00 / $5,248.07 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3,162.28 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $363.08 / $870.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $354.81 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $204.17 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,862.09 / $3,467.37