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Minnesota rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $3,890.45 / $9,549.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $13,803.84 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $977.24 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$46.77 / $46.77 / $46.77
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $602.56 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,011.87 / $10,715.19