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Maine rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.99 / $994.13 / $2,538.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.15 / $1,015.47 / $1,462.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.12 / $1,816.72 / $3,627.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.07 / $2,159.52 / $3,466.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.63 / $994.13 / $2,538.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.59 / $2,841.85 / $3,825.57