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Illinois rates for HCPCS 20900

Bone Graft Any Donor Area Minor/Small

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.58 / $1,207.00 / $6,664.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.47 / $340.02 / $628.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.02 / $77.02 / $77.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.95 / $4,101.55 / $12,138.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.18 / $394.75 / $739.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $9,390.59 / $10,483.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.22 / $432.09 / $697.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.75 / $563.87 / $1,658.32
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.38 / $228.81 / $509.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $575.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $4,803.00 / $8,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.68 / $561.26 / $882.93