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Maryland rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $540.67 / $3,655.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $3,314.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.18 / $367.02 / $593.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00