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Massachusetts rates for HCPCS 20900

Bone Graft Any Donor Area Minor/Small

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.31 / $2,447.48 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.63 / $361.47 / $628.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.49 / $4,287.00 / $13,940.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$88.55 / $88.55 / $88.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.94 / $633.73 / $3,038.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.31 / $267.68 / $531.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.80 / $517.03 / $847.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.18 / $517.54 / $1,019.73
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.01 / $379.82 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.14 / $535.77 / $741.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.47 / $493.48 / $1,103.60
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.87 / $4,501.87 / $5,389.08
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $29.44 / $257.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.54 / $4,983.00 / $26,542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$88.55 / $88.55 / $88.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.09 / $915.02 / $3,038.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $5,572.00 / $11,272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.68 / $732.97 / $1,365.87