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Maine rates for HCPCS 20962

Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.69 / $2,764.52 / $3,352.68
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
$2,777.62 / $3,594.56 / $5,100.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,712.39 / $4,023.21 / $5,703.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,330.99 / $3,853.96 / $5,912.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,218.23 / $3,047.03 / $4,179.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,341.08 / $3,080.47 / $5,278.89