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Alaska rates for HCPCS 20900

Bone graft, any donor area; minor or small (eg, dowel or button)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.76 / $10,175.36 / $14,648.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.06 / $779.33 / $1,809.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.22 / $771.25 / $1,696.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.23 / $898.46 / $2,533.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.30 / $927.45 / $2,151.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.20 / $1,098.00 / $2,318.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.23 / $988.31 / $2,533.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.22 / $1,060.80 / $2,318.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,287.46 / $14,287.46 / $14,287.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.20 / $1,759.10 / $2,211.44