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Maine rates for HCPCS 21050

Condylectomy, temporomandibular joint (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $2,398.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,230.27 / $1,949.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $2,238.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $1,905.46