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Maine rates for HCPCS 23921

Disarticulation of shoulder; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $707.95 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $1,071.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,288.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $660.69 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,000.00