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Maine rates for HCPCS 20955

Bone Graft Microvascular Anastomosis Fibula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.00 / $2,570.71 / $3,112.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,568.65 / $3,324.14 / $4,641.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.44 / $3,698.38 / $5,306.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.84 / $3,496.27 / $5,363.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.64 / $2,692.02 / $3,112.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,365.86 / $3,371.58 / $4,829.62