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Maine rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $3,311.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,905.46 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,862.09 / $2,691.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,862.09 / $3,019.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,041.74 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $2,951.21