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California rates for HCPCS 20933

Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.95 / $5,310.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.16 / $663.77 / $3,408.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,537.00 / $14,312.00 / $29,023.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.42 / $1,074.70 / $1,996.91
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $100.00 / $27,955.87
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.16 / $710.23 / $1,608.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.48 / $849.21 / $1,829.02
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.96 / $745.27 / $931.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.67 / $856.80 / $1,552.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.80 / $2,000.00 / $3,328.61
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,902.56 / $5,012.24 / $5,848.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.69 / $840.91 / $1,153.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.61 / $884.60 / $1,785.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.94 / $2,114.94 / $2,114.94
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.97 / $724.05 / $946.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $1,551.00 / $6,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.92 / $720.48 / $1,427.52