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Maine rates for HCPCS 21188

Rcnstj Mdfc Oth/Thn Lefort Osteot & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.99 / $1,691.50 / $2,069.91
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
$1,650.55 / $2,136.01 / $2,991.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.92 / $2,421.59 / $3,456.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.35 / $2,257.71 / $3,463.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.99 / $1,900.83 / $2,069.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.30 / $2,268.79 / $3,157.19