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New Hampshire 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 / $400.58 / $7,178.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.35 / $125.35 / $125.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00