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Maine rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.42 / $600.45 / $737.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.10 / $623.95 / $912.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.35 / $864.69 / $1,263.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.63 / $731.08 / $1,295.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.42 / $600.45 / $737.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.79 / $802.47 / $1,206.01