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West Virginia rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.33 / $419.86 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.95 / $289.89 / $354.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.69 / $311.69 / $311.69
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$30.65 / $30.65 / $30.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,818.88 / $5,818.88 / $5,818.88