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Oklahoma rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,195.00 / $13,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,132.98 / $14,509.07 / $22,924.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,659.86 / $5,659.86 / $5,659.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.45 / $585.71 / $6,889.15
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$78.72 / $1,887.52 / $1,887.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,424.00 / $7,077.94