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Virginia rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $4,786.30 / $10,471.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $346.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $407.38 / $831.76
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $436.52 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61