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Kansas rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.50 / $5,458.00 / $12,237.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.20 / $3,055.34 / $5,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.64 / $519.55 / $6,988.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,946.00 / $6,988.00