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New Hampshire rates for HCPCS 20900

Bone Graft Any Donor Area Minor/Small

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $936.85 / $7,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.63 / $342.00 / $518.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.32 / $300.63 / $469.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.94 / $2,000.36 / $2,070.38
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
$255.40 / $529.91 / $1,103.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.08 / $466.94 / $1,048.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.81 / $751.38 / $1,229.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.30 / $327.70 / $555.82