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Maine rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.22 / $2,142.98 / $2,561.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,227.67 / $2,882.88 / $4,061.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.58 / $3,073.26 / $4,460.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,652.51 / $3,068.95 / $4,707.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.01 / $2,096.28 / $3,152.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,831.32 / $11,831.32 / $11,831.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.79 / $2,580.71 / $4,115.18