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Louisiana rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.32 / $2,397.00 / $4,050.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.09 / $7,360.79 / $13,753.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.01 / $2,476.62 / $2,476.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $9,160.00