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Maine rates for HCPCS 21154

Rcnstj Midface Lefort Iii W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.30 / $2,135.21 / $2,464.46
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
$2,032.82 / $2,630.71 / $3,709.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.78 / $2,953.92 / $4,212.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,405.60 / $2,783.28 / $4,269.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.30 / $2,464.46 / $2,503.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.61 / $2,926.85 / $3,784.73