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Pennsylvania rates for HCPCS 20931

Allograft For Spine Surgery Only Structural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.09 / $3,327.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.35 / $125.35 / $125.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.04 / $2,642.53 / $4,121.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.00 / $3,340.00 / $8,206.51
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.35 / $125.35 / $125.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.60 / $107.60 / $261.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $1,181.00 / $6,368.00