go back

Maine rates for HCPCS 21010

Arthrotomy, temporomandibular joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $2,041.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,659.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,905.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $977.24 / $1,621.81