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Louisiana rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,570.40 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,413.10 / $13,803.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,548.13 / $10,964.78