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Maine rates for HCPCS 21453

Closed treatment of mandibular fracture with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,348.46 / $5,348.46 / $6,531.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,348.46 / $5,348.46 / $6,531.49