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South Carolina 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
$125.89 / $4,897.79 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $660.69 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $891.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $257.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $154.88 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13