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Maine rates for HCPCS 21408

Open Tx Fx Orbit Except Blowout W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.40 / $948.80 / $1,147.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.23 / $1,221.94 / $1,726.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.26 / $1,376.61 / $1,949.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.36 / $1,304.36 / $2,000.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.40 / $1,052.74 / $1,147.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.38 / $1,197.82 / $1,796.51