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West Virginia rates for HCPCS 20902

Bone graft, any donor area; major or large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $1,348.96 / $2,290.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$46.77 / $46.77 / $46.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $17,378.01 / $50,118.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $20,417.38