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Maine rates for HCPCS 20955

Bone graft with microvascular anastomosis; fibula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $6,760.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,548.13 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,548.13 / $5,370.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,388.44 / $6,309.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,388.44 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,235.94 / $5,011.87