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Maine rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.17 / $942.19 / $1,150.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.12 / $932.68 / $1,339.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.39 / $1,314.03 / $1,866.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.35 / $1,101.81 / $1,955.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.17 / $954.29 / $1,150.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.70 / $1,313.93 / $1,824.90