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Maine rates for HCPCS 21465

Open Treatment Mandibular Condylar Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.35 / $941.73 / $1,070.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.63 / $1,068.46 / $1,543.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.43 / $1,249.22 / $1,727.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.83 / $1,166.06 / $1,788.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.35 / $1,070.96 / $1,108.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.93 / $1,300.15 / $1,625.19