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Maine rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.49 / $358.06 / $497.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.01 / $365.90 / $521.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.95 / $531.29 / $762.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.89 / $473.21 / $839.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.88 / $366.39 / $504.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.46 / $525.15 / $780.77