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Michigan rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.66 / $366.66 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,199.62 / $7,276.53 / $9,858.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.60 / $373.25 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00