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Ohio rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.69 / $4,687.00 / $11,243.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,674.00 / $6,565.00 / $30,285.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.11 / $264.12 / $384.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.69 / $311.69 / $6,794.03
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$30.65 / $30.65 / $30.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,625.00 / $7,847.00