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Maine rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.72 / $1,239.08 / $1,525.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.21 / $1,589.37 / $2,193.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.14 / $1,768.07 / $2,640.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.40 / $1,657.29 / $2,542.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.96 / $1,239.08 / $1,525.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.54 / $1,649.62 / $2,228.81