go back

Maine rates for HCPCS 21183

Rcnstj Orbit/Fhd/Nasethmd Exc Bone Grf>40 <80

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.83 / $2,395.83 / $2,937.00
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
$2,402.40 / $3,108.99 / $4,371.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,316.87 / $3,485.56 / $4,945.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,855.31 / $3,303.59 / $5,067.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.83 / $2,614.57 / $2,937.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,232.12 / $3,132.51 / $4,533.66