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Maine rates for HCPCS 29867

Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.15 / $1,334.54 / $1,611.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.79 / $1,731.26 / $2,458.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.48 / $1,933.45 / $2,749.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.52 / $1,857.59 / $2,849.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.15 / $1,611.21 / $1,731.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,735.34 / $2,547.41