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Maine rates for HCPCS 21025

Excision Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.80 / $848.48 / $1,053.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.49 / $875.68 / $1,264.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.98 / $1,198.17 / $1,727.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.94 / $1,010.83 / $1,776.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.64 / $836.94 / $1,053.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.74 / $1,232.43 / $1,604.48