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Indiana rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.69 / $3,787.20 / $12,933.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $9,219.00 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.41 / $319.02 / $368.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,348.00 / $12,569.00