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Maine rates for HCPCS 20902

Bone Graft Any Donor Area Major/Large

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.21 / $3,119.93 / $8,070.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.21 / $3,119.93 / $8,070.45