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Illinois rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.16 / $2,074.00 / $5,405.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,826.20 / $6,262.62 / $12,138.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $6,831.39 / $7,626.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.00 / $489.06 / $2,093.58
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,530.00 / $8,566.00