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West Virginia 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
$915.80 / $4,806.22 / $11,263.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.37 / $283.69 / $464.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.74 / $190.79 / $232.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.56 / $206.56 / $208.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.94 / $305.94 / $305.94
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$30.59 / $30.59 / $30.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.91 / $474.42 / $880.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $822.00 / $6,842.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $205.00 / $205.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.00 / $2,910.00 / $2,910.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.14 / $494.43 / $809.70