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Maine rates for HCPCS 21150

Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.57 / $1,729.87 / $2,081.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.26 / $2,222.34 / $3,132.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.23 / $2,493.94 / $3,560.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.67 / $2,348.33 / $3,602.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.57 / $1,944.84 / $2,081.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.76 / $2,374.92 / $3,272.69