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Maine rates for HCPCS 21248

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.66 / $1,050.95 / $1,308.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.36 / $1,042.35 / $1,509.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.18 / $1,408.45 / $2,037.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.05 / $1,224.65 / $2,173.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.66 / $1,050.95 / $1,308.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.34 / $1,396.88 / $1,981.19