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Maine rates for HCPCS 21440

Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.68 / $570.94 / $804.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.27 / $684.49 / $985.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.50 / $965.74 / $1,466.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.72 / $924.56 / $1,641.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.68 / $552.15 / $804.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.26 / $775.96 / $1,372.77