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Maine rates for HCPCS 21198

Osteotomy, mandible, segmental;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.91 / $1,181.80 / $1,408.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.19 / $1,399.18 / $1,921.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.82 / $1,551.76 / $2,251.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.74 / $1,451.73 / $2,227.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.25 / $1,180.33 / $1,408.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.52 / $1,646.42 / $2,016.89