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Bone Graft With Reattached Blood Vessels, Other Site

Wisconsin 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 $13,804 · 10th–90th $4,786$22,9090%10%10th90th$13,804Professionalmedian $5,248 · 10th–90th $2,570$12,5890%10%10th90th$5,248$50.0$200.0$1.0K$5.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,370.32
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,754.23
Typical High
$11,220.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,135.61
Typical High
$26,302.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$5,011.87
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$7,943.28
Typical High
$12,882.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$10,715.19
Typical High
$12,022.64
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$8,912.51
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$7,762.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,248.07
Typical High
$13,489.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,570.88
Typical High
$19,498.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$9,332.54
Typical High
$12,589.25
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$5,370.32
Typical High
$10,964.78
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,548.13
Typical High
$6,025.60
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,754.40
Typical High
$8,511.38
Quartz
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$26,302.68
Typical High
$26,302.68
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$12,589.25
Typical High
$19,054.61
Security Health
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Security Health
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$14,454.40
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$12,302.69
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,801.89
Typical High
$10,964.78