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Maine rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.83 / $777.05 / $948.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.79 / $994.90 / $1,402.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.02 / $1,125.59 / $1,591.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.91 / $1,059.71 / $1,625.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.83 / $824.33 / $948.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.96 / $958.46 / $1,465.64