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Maine rates for HCPCS 21295

Reduction Masseter Muscle & Bone Extraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.29 / $210.44 / $239.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.16 / $261.62 / $381.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.47 / $289.92 / $425.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.38 / $288.52 / $442.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.29 / $207.97 / $239.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.17 / $251.10 / $404.94