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Maine rates for HCPCS 40844

Vestibuloplasty Entire Arch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.77 / $1,426.92 / $1,803.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.02 / $1,691.30 / $2,389.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.70 / $1,980.36 / $3,285.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.62 / $1,875.92 / $2,918.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.77 / $1,426.92 / $1,803.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.97 / $1,865.83 / $3,026.26