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Maine rates for HCPCS 40844

Vestibuloplasty; entire arch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,548.82 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,862.09 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,862.09 / $2,754.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,995.26 / $3,090.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,819.70 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,819.70 / $3,090.30