go back

Maine rates for HCPCS 20910

Cartilage Graft Costochondral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.39 / $504.32 / $592.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.35 / $643.63 / $927.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.73 / $711.56 / $1,029.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.52 / $700.59 / $1,074.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.39 / $497.51 / $796.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.00 / $581.89 / $967.35