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Exchange Of One External Frame Strut

Maine rates for HCPCS 20697

Replaces a single strut on an external frame that is already in place. Imaging is included, and the adjustment is computer-assisted. The charge applies once for each strut exchanged.

Facilitymedian $3,311 · 10th–90th $3,311$3,3110%50%100%$3,311Professionalmedian $2,399 · 10th–90th $1,738$4,2660%10%20%10th90th$2,399$1.0K$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
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$4,265.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,454.71
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$3,981.07
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,818.38
Typical High
$5,370.32
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,570.40
Typical High
$5,128.61