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Oklahoma 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
$407.38 / $2,630.27 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $338.84 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $100.00 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $9,332.54 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $380.19 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $389.05 / $676.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $575.44 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$81.28 / $81.28 / $81.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,265.80 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $346.74 / $616.60