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Maine rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.20 / $747.59 / $991.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.78 / $840.28 / $1,207.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.30 / $1,136.63 / $1,660.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.14 / $1,000.41 / $1,775.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.85 / $747.59 / $991.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.86 / $1,113.05 / $1,461.41