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Nebraska 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
$724.11 / $4,241.22 / $12,036.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.40 / $10,296.48 / $19,916.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.47 / $174.77 / $4,317.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.98 / $242.35 / $339.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00