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Maine rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.57 / $1,590.91 / $1,938.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.58 / $1,539.80 / $2,215.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.39 / $2,198.37 / $3,145.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.91 / $1,842.53 / $3,270.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.57 / $1,590.91 / $1,938.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.62 / $2,230.29 / $2,921.73