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Washington rates for HCPCS 20931

Allograft For Spine Surgery Only Structural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.93 / $3,170.00 / $14,464.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $813.53 / $4,777.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $870.49 / $870.49
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.40 / $211.81 / $267.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.40 / $207.90 / $221.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.68 / $147.68 / $150.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $648.00 / $5,793.00