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Maine rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.90 / $1,590.69 / $1,934.67
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
$1,589.48 / $2,056.96 / $2,892.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.91 / $2,309.84 / $3,276.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.11 / $2,185.69 / $3,352.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.90 / $1,773.89 / $1,934.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.35 / $2,025.58 / $3,006.39