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Maine rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.46 / $722.53 / $858.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.29 / $715.49 / $1,039.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.49 / $944.73 / $1,355.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.02 / $818.33 / $1,431.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.46 / $722.53 / $858.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.54 / $1,031.26 / $1,358.16