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Wisconsin 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
$174.65 / $648.94 / $9,072.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.65 / $384.07 / $843.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,139.00 / $13,743.77 / $21,606.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.30 / $403.04 / $1,146.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.77 / $7,560.77 / $7,560.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.18 / $1,201.51 / $1,843.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.73 / $736.63 / $1,759.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.35 / $385.98 / $790.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.20 / $416.33 / $9,837.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.17 / $959.78 / $2,984.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.27 / $427.71 / $961.29
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.35 / $385.98 / $790.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.38 / $732.45 / $1,281.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.80 / $837.80 / $9,916.36
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$82.05 / $82.05 / $82.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.59 / $1,473.06 / $2,984.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.62 / $1,126.48 / $2,463.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,882.00 / $12,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.22 / $853.14 / $1,798.29