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Maine rates for HCPCS 20956

Bone graft with microvascular anastomosis; iliac crest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.23 / $2,727.51 / $3,329.63
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
$2,754.32 / $3,564.41 / $5,025.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,660.74 / $3,988.04 / $5,643.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,280.70 / $3,795.77 / $5,822.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.23 / $3,065.27 / $3,329.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,530.52 / $3,706.16 / $5,191.76