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Arizona rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,776.00 / $7,562.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.05 / $471.67 / $6,063.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.72 / $78.72 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.00 / $4,545.00 / $7,217.00