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Maine rates for HCPCS 21146

Rcnstj Midface Lefort I 2 Pieces W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.69 / $1,678.22 / $2,081.91
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
$1,685.84 / $2,181.67 / $3,068.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.06 / $2,483.91 / $3,527.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,003.70 / $2,318.28 / $3,556.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.57 / $1,577.79 / $2,081.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.71 / $2,176.07 / $3,231.58