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Maine rates for HCPCS 21630

Radical Resection Sternum

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.45 / $1,374.88 / $1,525.15
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
$1,334.19 / $1,726.60 / $2,510.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.03 / $1,946.96 / $2,829.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.73 / $1,897.17 / $2,910.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.45 / $1,472.30 / $1,525.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.10 / $1,652.49 / $2,608.23