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Wisconsin rates for HCPCS 20902

Bone graft, any donor area; major or large

Facilitymedian $13,490 · 10th–90th $912–$22,3870%10%20%10th90th$13,490Professionalmedian $575 · 10th–90th $380–$8710%20%10th90th$575$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $1,659.59 / $17,782.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $15,135.61 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $812.83 / $1,348.96
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $724.44 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $812.83 / $12,302.69
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $8,511.38 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $870.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $13,489.63 / $19,952.62
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,995.26
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,232.93 / $13,182.57