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Tennessee rates for HCPCS 20900

Bone Graft Any Donor Area Minor/Small

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.29 / $2,311.00 / $6,446.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.87 / $342.00 / $617.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.29 / $106.29 / $149.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $5,486.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.52 / $401.69 / $716.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.22 / $421.33 / $792.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.80 / $885.54 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$82.05 / $88.55 / $88.55
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.40 / $2,984.33 / $3,210.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,934.00 / $4,611.00 / $8,086.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.07 / $506.08 / $841.23