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Hawaii 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
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.06 / $276.45 / $535.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.53 / $499.66 / $599.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.69 / $715.65 / $884.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.22 / $423.71 / $499.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.72 / $499.66 / $684.65
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.42 / $2,458.57 / $6,063.00