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Maine rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.48 / $410.36 / $658.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.24 / $442.64 / $619.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.77 / $645.89 / $989.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.97 / $633.96 / $1,125.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.48 / $410.36 / $658.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.11 / $612.29 / $791.76