go back

Maine rates for HCPCS 20957

Bone graft with microvascular anastomosis; metatarsal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.67 / $2,841.76 / $3,465.17
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
$2,867.63 / $3,711.05 / $5,232.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,772.94 / $4,133.43 / $5,877.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,417.55 / $3,954.11 / $6,065.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.48 / $2,971.47 / $4,233.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.31 / $3,475.37 / $5,317.71