go back

Bone Graft With Reattached Blood Vessels, Other Site

South Dakota rates for HCPCS 20962

This procedure transfers a section of living bone, along with its own blood vessels, from one part of the body to reconstruct a bone defect elsewhere. The blood vessels are surgically reconnected under a microscope to restore blood flow to the transplanted bone at its new location. The bone segment is taken from a site elsewhere in the body, rather than the hip, lower leg, or foot bones most commonly used for this technique.

Rates data updated July 2026.

Facilitymedian $4,365 · 10th–90th $3,162$6,0260%20%10th90th$4,365Professionalmedian $4,467 · 10th–90th $2,188$7,5860%10%10th90th$4,467$2.0K$5.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,630.27
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$6,025.60
Typical High
$7,585.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,365.16
Typical High
$6,025.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,265.80
Typical High
$19,498.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$6,025.60
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,786.30
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,073.80
Typical High
$6,918.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,248.07
Typical High
$6,165.95