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New York rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.83 / $4,921.29 / $10,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $9,877.00 / $16,490.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.71 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.69 / $311.69 / $311.69
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$30.65 / $30.65 / $30.65
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.86 / $610.00 / $1,489.50
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.43 / $254.43 / $254.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,509.62 / $2,509.62 / $3,054.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.69 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$30.65 / $30.65 / $30.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,248.00 / $11,200.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.63 / $326.63 / $2,748.60