go back

Oklahoma rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,981.07 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $13,489.63 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $1,230.27 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$79.43 / $1,905.46 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,570.88 / $8,511.38