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Missouri 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
$166.89 / $3,498.00 / $10,884.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $6,000.00 / $13,384.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,231.00 / $16,231.00 / $16,231.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.01 / $177.13 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $1,218.00 / $9,475.00