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New Mexico rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.59 / $1,742.25 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,212.40 / $11,123.68 / $17,261.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.35 / $505.42 / $884.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $9,127.00 / $13,891.00