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Idaho rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $5,495.41 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,265.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $630.96 / $1,096.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,218.10 / $22,908.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $9,332.54 / $18,197.01