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Maine rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.84 / $1,223.98 / $1,464.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.31 / $1,306.91 / $1,860.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.96 / $1,505.82 / $2,113.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.75 / $1,405.47 / $2,156.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.84 / $1,424.50 / $1,464.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.86 / $1,566.50 / $2,139.23