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Maine rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.20 / $1,442.42 / $1,788.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.51 / $1,461.07 / $2,107.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.25 / $1,989.08 / $2,806.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.53 / $1,681.10 / $2,954.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.20 / $1,483.87 / $1,788.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.88 / $2,063.10 / $2,679.46