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Maine rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.18 / $2,265.59 / $2,734.25
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
$2,254.14 / $2,917.13 / $4,113.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.90 / $3,274.08 / $4,669.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,667.76 / $3,086.60 / $4,735.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.18 / $2,568.34 / $2,734.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.29 / $2,970.06 / $4,293.08