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Texas 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
$405.00 / $2,017.00 / $7,497.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.17 / $8,863.00 / $19,343.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.76 / $103.37 / $103.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.35 / $125.35 / $125.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,000.00 / $4,777.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.47 / $146.13 / $244.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.90 / $146.13 / $247.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,405.00