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Virginia rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.02 / $5,360.00 / $10,366.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.00 / $12,004.00 / $15,528.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.69 / $311.69 / $776.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$30.65 / $30.65 / $30.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.54 / $330.93 / $385.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.29 / $407.75 / $864.28
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$73.48 / $113.60 / $218.40
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$51.44 / $79.52 / $152.88
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.57 / $420.41 / $1,330.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00