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Minnesota rates for HCPCS 20900

Bone Graft Any Donor Area Minor/Small

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.74 / $403.59 / $3,042.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.74 / $360.24 / $617.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.31 / $11,716.49 / $25,424.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.05 / $646.98 / $1,315.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.53 / $1,362.85 / $3,278.52
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$30.59 / $30.59 / $30.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.20 / $743.33 / $1,540.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.24 / $1,245.97 / $2,581.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.48 / $694.94 / $1,311.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.02 / $522.86 / $2,001.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$82.05 / $82.05 / $82.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.68 / $823.78 / $1,654.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $3,991.00 / $9,787.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.68 / $782.76 / $1,545.91