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Maine rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.60 / $568.61 / $652.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.11 / $653.66 / $949.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.48 / $770.60 / $1,058.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.36 / $717.76 / $1,101.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.60 / $652.01 / $656.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.46 / $802.59 / $1,003.24