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Maine rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.27 / $1,775.03 / $2,163.27
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
$1,775.15 / $2,297.26 / $3,229.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.78 / $2,578.12 / $3,658.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,109.23 / $2,440.38 / $3,743.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.27 / $1,953.59 / $2,163.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.39 / $2,188.41 / $3,354.27