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California rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $8,709.64 / $22,387.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,715.19 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $4,570.88 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $275.42 / $512.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $295.12 / $562.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $389.05 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $10,000.00 / $20,892.96