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Indiana 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
$168.22 / $3,500.00 / $10,813.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.22 / $339.88 / $514.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.02 / $77.02 / $124.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,890.00 / $30,900.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.26 / $313.33 / $444.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.13 / $210.78 / $471.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.49 / $408.59 / $510.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,467.77 / $6,467.77 / $7,666.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.54 / $481.47 / $803.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,846.00 / $8,348.00 / $12,569.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.22 / $459.65 / $829.28