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Alaska rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $10,000.00 / $16,982.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $794.33 / $1,905.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $794.33 / $1,513.56