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North Carolina rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $4,168.69 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $1,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $398.11 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $9,332.54 / $14,454.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $33,884.42
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26