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Maine rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.32 / $1,041.02 / $1,282.55
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
$1,070.94 / $1,385.93 / $1,945.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.83 / $1,519.18 / $2,172.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.69 / $1,465.56 / $2,248.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.32 / $1,205.26 / $1,282.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.96 / $1,358.40 / $1,982.94