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Maine rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.59 / $959.86 / $1,164.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.82 / $1,235.65 / $1,752.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.46 / $1,397.93 / $1,971.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.27 / $1,323.92 / $2,030.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.20 / $1,030.25 / $1,164.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.10 / $1,222.88 / $1,821.37