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Maine rates for HCPCS 21616

Excision first and/or cervical rib; with sympathectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.13 / $766.15 / $887.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.85 / $965.22 / $1,355.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.64 / $1,059.57 / $1,507.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.52 / $1,021.08 / $1,566.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.13 / $887.92 / $931.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.87 / $1,017.39 / $1,378.41