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Maine rates for HCPCS 21121

Genioplasty Sliding Osteotomy Single Piece

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.79 / $690.97 / $868.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.27 / $714.43 / $1,011.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.78 / $950.40 / $1,319.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $801.00 / $1,407.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.94 / $731.67 / $868.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.06 / $1,051.53 / $1,363.09