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Harvesting a Large Bone Graft

Pennsylvania rates for HCPCS 20902

Takes a sizeable block or strip of bone from one part of the body so it can be used to rebuild, fill or fuse bone somewhere else. The donor area is opened, the piece of bone is cut free, and the site is closed. It accompanies a reconstruction that needs the patient's own bone rather than a substitute.

Rates data updated July 2026.

Facilitymedian $4,786 · 10th–90th $813$8,5110%10%10th90th$4,786$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$5,011.87
Typical High
$8,511.38
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$19,054.61
Typical High
$58,884.37
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$4,265.80
Typical High
$8,511.38
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,398.83
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,466.84
Typical High
$21,379.62