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Maine rates for HCPCS 20936

Autograft Spine Surgery Local From Same Incision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.57 / $126.10 / $158.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.51 / $162.10 / $223.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.28 / $189.56 / $267.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.40 / $179.80 / $275.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.57 / $126.10 / $158.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.01 / $170.74 / $246.43