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Maine rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.62 / $319.45 / $488.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.50 / $331.17 / $472.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.42 / $478.98 / $792.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.33 / $505.77 / $840.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.62 / $319.45 / $488.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.96 / $519.69 / $832.52