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Maine rates for HCPCS 21445

Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.14 / $732.66 / $993.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.27 / $810.91 / $1,200.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.85 / $1,164.32 / $1,701.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.11 / $952.59 / $1,690.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.14 / $732.66 / $993.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.72 / $1,041.63 / $1,580.35