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Maine rates for HCPCS 21451

Closed Tx Mandibular Fracture W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,684.42 / $3,684.42 / $3,684.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.50 / $807.55 / $966.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.66 / $832.50 / $1,222.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.61 / $1,120.26 / $1,637.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.72 / $961.29 / $1,689.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,684.42 / $3,684.42 / $3,684.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.50 / $807.55 / $966.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.51 / $1,054.32 / $1,480.95