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Maine rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,457.46 / $4,754.18 / $9,411.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.50 / $1,352.06 / $1,709.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.93 / $1,796.14 / $2,528.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.50 / $2,049.34 / $2,906.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.27 / $1,910.52 / $2,930.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,457.46 / $4,754.18 / $9,411.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.50 / $1,437.74 / $1,709.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.59 / $1,888.44 / $2,667.14