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Tennessee rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.80 / $2,713.50 / $6,446.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,486.00 / $9,283.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.19 / $19,913.50 / $26,542.00
Lucent Health
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
$2,426.00 / $4,722.00 / $7,669.00