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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
$446.68 / $562.34 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $724.44 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,122.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $1,258.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $1,122.02