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New Mexico 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
$407.02 / $7,838.38 / $18,481.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.55 / $342.00 / $499.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,210.50 / $11,123.68 / $17,261.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $381.97 / $638.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.35 / $396.36 / $696.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $64.27 / $567.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.55 / $400.22 / $830.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.80 / $435.58 / $759.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $13,891.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.30 / $669.07 / $1,024.65