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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
$475.04 / $4,500.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.05 / $317.20 / $414.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.62 / $78.62 / $111.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,387.39 / $10,015.81 / $15,625.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.05 / $384.30 / $527.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,780.17 / $7,780.17 / $7,780.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.45 / $345.78 / $663.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.60 / $468.08 / $5,882.00
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
$348.67 / $555.91 / $2,984.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.00 / $5,147.21 / $8,608.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.06 / $449.49 / $727.65