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Massachusetts rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,467.37 / $8,128.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,165.95 / $33,884.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $707.95 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $5,011.87 / $5,011.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,165.95 / $33,884.42
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $13,182.57