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Maine rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.32 / $1,292.24 / $1,625.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.56 / $1,686.97 / $2,310.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.52 / $1,863.73 / $2,715.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.06 / $1,745.98 / $2,678.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.52 / $1,292.24 / $1,625.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.17 / $1,801.81 / $2,416.89