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Arizona 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
$730.79 / $2,933.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.70 / $342.00 / $628.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.26 / $154.26 / $154.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,626.12 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.63 / $308.77 / $505.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.80 / $423.44 / $759.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.11 / $396.00 / $4,398.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$82.05 / $82.05 / $82.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.84 / $564.29 / $2,984.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,384.00 / $4,635.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.75 / $442.31 / $840.16