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Maine rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.71 / $1,150.58 / $1,408.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.96 / $1,479.12 / $2,079.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.52 / $1,614.02 / $2,361.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.37 / $1,570.48 / $2,409.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.71 / $1,169.86 / $1,738.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.78 / $1,357.37 / $1,735.16