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Maine rates for HCPCS 20933

Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,000.00 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,513.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,659.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $954.99 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $851.14 / $1,348.96