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West Virginia 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
$123.50 / $6,903.55 / $15,788.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.38 / $136.38 / $148.59
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
$5,855.73 / $7,523.94 / $10,671.93