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Maine rates for HCPCS 41821

Operculectomy, excision pericoronal tissues

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $70.79 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $81.28 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $165.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $77.62 / $147.91