go back

Maine rates for HCPCS 21247

Rcnstj Mndblr Condyle W/Bone Cartlg Autografts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.77 / $1,679.99 / $2,039.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,491.08 / $26,019.37 / $30,263.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.19 / $2,127.78 / $2,996.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.91 / $2,426.33 / $3,440.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.13 / $2,264.40 / $3,473.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.77 / $1,890.93 / $2,039.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.45 / $2,131.60 / $3,155.80