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Maine rates for HCPCS 21159

Rcnstj Midface Lefort Iii W/Fhd W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.53 / $2,784.52 / $3,276.98
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
$2,701.02 / $3,495.44 / $4,925.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,581.42 / $3,919.25 / $5,592.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,196.20 / $3,698.00 / $5,672.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.53 / $3,276.98 / $3,288.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,451.59 / $3,547.73 / $5,135.93