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Maine rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,548.82 / $2,818.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,778.28 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $2,041.74 / $3,311.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,862.09 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,513.56 / $3,235.94