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Utah rates for HCPCS 20900

Bone Graft Any Donor Area Minor/Small

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.39 / $3,975.53 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.88 / $360.24 / $804.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.62 / $427.73 / $675.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.70 / $346.91 / $432.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,361.94 / $13,564.50 / $19,767.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.06 / $483.15 / $994.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $6,097.00 / $14,287.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.20 / $430.68 / $686.76