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Maine rates for HCPCS 41822

Exc Fibrous Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.45 / $303.72 / $418.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.60 / $366.83 / $560.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.74 / $341.74 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.98 / $415.60 / $740.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.15 / $440.23 / $776.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.45 / $303.72 / $490.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.39 / $426.59 / $721.34