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Maine rates for HCPCS 27415

Osteochondral allograft, knee, open

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.97 / $1,377.75 / $1,730.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.23 / $1,857.36 / $2,635.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.42 / $2,076.36 / $2,948.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.94 / $1,991.13 / $3,054.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.97 / $1,419.35 / $2,165.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.03 / $1,864.95 / $2,728.93