go back

Indiana rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $4,897.79 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $28,183.83 / $39,810.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $269.15 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $707.95 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $10,964.78