go back

North Carolina rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.14 / $3,757.00 / $9,004.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,503.36 / $2,503.36 / $2,539.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.70 / $748.70 / $6,025.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.51 / $510.00 / $1,092.00
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$83.29 / $134.81 / $218.40
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$58.30 / $89.74 / $152.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.19 / $19,913.50 / $26,542.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.72 / $1,134.79 / $1,887.52