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Maine rates for HCPCS 21261

Periorbital Osteotomies W/Bone Grafts Icra & Xtr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.38 / $2,554.50 / $3,119.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.76 / $3,288.05 / $4,612.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.89 / $3,579.38 / $5,247.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,011.95 / $3,484.83 / $5,345.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.38 / $2,558.50 / $3,119.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,124.14 / $2,986.71 / $4,804.97