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Maine rates for HCPCS 20900

Bone Graft Any Donor Area Minor/Small

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $2,293.02 / $2,810.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.06 / $332.47 / $518.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.72 / $244.38 / $342.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.51 / $394.73 / $844.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.41 / $469.91 / $754.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $2,293.02 / $13,266.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.50 / $360.24 / $596.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,287.46 / $14,287.46 / $14,287.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.66 / $548.86 / $779.89