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Maine rates for HCPCS 21432

Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,862.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,047.13 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,621.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,905.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,479.11