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Maine rates for HCPCS 21406

Open treatment of fracture of orbit, except blowout; without implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $1,513.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $870.96 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,318.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,513.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,258.93