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Oregon rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.47 / $2,747.00 / $13,746.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.00 / $1,040.00 / $1,040.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.52 / $587.98 / $699.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.75 / $633.04 / $947.08
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.23 / $529.14 / $633.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.75 / $677.56 / $5,949.00
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$104.97 / $104.97 / $104.97
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$89.22 / $89.22 / $89.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,860.72 / $22,602.85 / $28,333.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00