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Louisiana rates for HCPCS 20900

Bone Graft Any Donor Area Minor/Small

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.12 / $1,589.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.06 / $367.69 / $634.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.09 / $7,319.51 / $13,328.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.27 / $392.60 / $649.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.50 / $6,612.52 / $6,612.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.87 / $359.19 / $664.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $3,602.00 / $11,347.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.32 / $467.09 / $836.27