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Maine rates for HCPCS 21160

Rcnstj Midface Lefort Iii W/Fhd W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,362.07 / $2,937.09 / $3,554.44
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
$2,929.04 / $3,790.53 / $5,340.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,797.11 / $4,248.24 / $6,063.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,465.37 / $4,009.43 / $6,150.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,362.07 / $3,174.52 / $3,554.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,701.37 / $4,154.84 / $5,770.61