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Maryland rates for HCPCS 20900

Bone Graft Any Donor Area Minor/Small

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $779.20 / $4,673.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.70 / $368.70 / $1,049.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.49 / $223.10 / $463.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $4,556.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.99 / $410.68 / $810.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.62 / $510.35 / $721.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.82 / $588.00 / $14,287.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.06 / $523.60 / $832.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.10 / $454.96 / $560.36