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Iowa rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $5,091.00 / $9,185.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.04 / $441.37 / $1,616.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.19 / $802.04 / $11,139.12
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,887.52 / $1,887.52 / $1,887.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.97 / $814.35 / $6,616.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $6,588.00 / $10,320.00