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Maine rates for HCPCS 27105

Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.46 / $915.36 / $1,095.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.58 / $1,183.57 / $1,680.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.53 / $1,314.27 / $1,882.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.69 / $1,270.03 / $1,948.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.46 / $999.29 / $1,095.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.25 / $1,177.15 / $1,868.19