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Maine rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.18 / $1,044.83 / $1,543.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.78 / $1,228.90 / $1,798.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.78 / $1,673.68 / $2,445.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.11 / $1,504.12 / $2,669.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.10 / $1,067.84 / $1,543.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.86 / $1,554.05 / $2,469.13