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Maine rates for HCPCS 21081

Impression & Prepj Mandibular Resection Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.82 / $1,590.28 / $2,037.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.33 / $1,587.29 / $2,295.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.51 / $2,304.07 / $3,341.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.25 / $1,930.33 / $3,426.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.02 / $1,590.28 / $2,037.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.69 / $2,298.23 / $3,085.66