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Maine rates for HCPCS 21040

Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $977.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $1,202.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $588.84 / $954.99