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Missouri rates for HCPCS 20900

Bone Graft Any Donor Area Minor/Small

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.32 / $1,951.86 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.88 / $329.04 / $671.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.84 / $103.84 / $103.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $276.54 / $498.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.14 / $407.87 / $818.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.22 / $444.20 / $3,693.00
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
$417.49 / $671.15 / $2,984.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,318.00 / $5,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.75 / $517.82 / $875.05