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Maine rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.54 / $496.49 / $633.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.97 / $477.57 / $691.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.50 / $670.02 / $979.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.89 / $577.90 / $1,025.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.33 / $496.49 / $633.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,486.14 / $6,486.14 / $6,486.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.96 / $692.99 / $940.32