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Maine rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.89 / $1,514.39 / $1,994.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,491.08 / $26,019.37 / $30,263.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.25 / $2,090.33 / $2,937.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.21 / $2,377.91 / $3,379.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,918.38 / $2,219.57 / $3,404.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.89 / $1,514.39 / $1,994.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.15 / $2,085.64 / $3,094.13