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Maine rates for HCPCS 24802

Arthrodesis Elbow Joint W/Autogenous Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.85 / $1,050.36 / $1,263.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.24 / $1,361.72 / $1,931.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.29 / $1,516.35 / $2,163.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.33 / $1,459.36 / $2,238.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.85 / $1,155.36 / $1,263.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.19 / $1,364.02 / $2,001.59