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Maine rates for HCPCS 41823

Exc Oss Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.16 / $450.26 / $616.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.42 / $546.42 / $837.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.29 / $616.29 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.79 / $645.62 / $1,157.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.73 / $657.46 / $1,166.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.16 / $450.26 / $897.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.03 / $623.15 / $1,077.49