go back

Idaho rates for HCPCS 20962

Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,678.65 / $3,732.15 / $5,385.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,926.65 / $4,018.92 / $4,641.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,546.21 / $4,514.29 / $6,193.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,312.97 / $4,705.06 / $6,167.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,679.95 / $4,629.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,480.35 / $9,397.43 / $15,505.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,539.56 / $5,340.66 / $6,167.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.53 / $3,785.11 / $5,152.30