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Maine rates for HCPCS 21050

Condylectomy Temporomandibular Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.40 / $928.06 / $1,121.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.87 / $1,167.13 / $1,644.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.54 / $1,334.26 / $1,891.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.36 / $1,241.89 / $1,905.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.40 / $1,024.91 / $1,121.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.75 / $1,183.82 / $1,723.19