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Maine rates for HCPCS 21465

Open treatment of mandibular condylar fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $2,187.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,174.90 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $1,819.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $2,041.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $1,819.70