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Maine rates for HCPCS 21048

Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.97 / $1,084.20 / $1,356.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.66 / $1,363.56 / $1,904.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.44 / $1,543.39 / $2,206.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.60 / $1,438.86 / $2,207.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.97 / $1,139.03 / $1,356.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.76 / $1,555.70 / $2,089.09