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Missouri rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.50 / $4,081.00 / $10,043.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.39 / $519.42 / $19,913.50
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.72 / $78.72 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,347.00 / $6,854.00