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California 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
$563.00 / $6,229.00 / $18,315.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.14 / $360.24 / $779.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.15 / $148.21 / $162.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,362.00 / $16,106.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.10 / $387.75 / $972.97
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,393.26
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.47 / $462.38 / $855.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $9,477.69 / $16,974.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.23 / $480.53 / $864.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.85 / $251.13 / $641.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.19 / $392.13 / $720.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.80 / $885.54 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$82.05 / $88.55 / $88.55
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.40 / $2,984.33 / $3,210.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.60 / $441.92 / $686.38
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$151.47 / $151.47 / $151.47
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$30.59 / $30.59 / $128.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.57 / $487.38 / $950.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.36 / $597.36 / $1,355.92
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.39 / $316.16 / $528.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,200.00 / $9,539.00 / $20,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.11 / $453.96 / $956.78