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Oregon 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
$234.15 / $1,606.50 / $8,728.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.88 / $231.02 / $273.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.97 / $202.72 / $269.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.40 / $207.90 / $221.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.97 / $208.38 / $282.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00