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Maine rates for HCPCS 24346

Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.47 / $1,105.14 / $1,768.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.43 / $1,497.85 / $2,132.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.76 / $1,665.89 / $2,382.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.41 / $1,611.02 / $2,471.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.47 / $1,141.08 / $1,768.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.01 / $1,491.90 / $2,212.92