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Maine rates for HCPCS 21366

Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.01 / $1,336.63 / $1,622.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.56 / $1,725.79 / $2,436.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.79 / $1,946.41 / $2,750.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.50 / $1,841.37 / $2,824.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.01 / $1,474.51 / $1,622.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.90 / $1,631.87 / $2,532.33