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Maine rates for HCPCS 21235

Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,301.55 / $3,684.42 / $7,703.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.77 / $699.32 / $938.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.97 / $747.88 / $1,096.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.60 / $1,040.65 / $1,520.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.93 / $915.50 / $1,624.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,301.55 / $3,684.42 / $7,703.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.00 / $713.22 / $1,388.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.55 / $973.77 / $1,305.30