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Maine rates for HCPCS 41899

Unlisted procedure, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $7,079.46 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,570.88 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $7,079.46 / $10,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,570.88 / $5,754.40