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New Hampshire rates for HCPCS 20900

Bone graft, any donor area; minor or small (eg, dowel or button)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,479.11 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $371.54 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $10,000.00 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $338.84 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $524.81 / $1,096.48
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $457.09 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $512.86 / $933.25
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $489.78